NPIMap

Organization Active NPI

The Rural Outreach Center, Inc.

Doing business as The Rural Outreach Center

  • Community/Behavioral Health Agency
  • East Aurora, NY
National Provider Identifier
1891311965
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE RURAL OUTREACH CENTER, INC.
Doing business as
The Rural Outreach Center
Practice address
730 Olean Rd
East Aurora, NY 14052-9781
Phone
(716) 240-2220
NPI assigned
Jun 24, 2020
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monique Albee Brannon
Title
Director of Development, Coo
Phone
(716) 240-2220

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

730 Olean Rd
East Aurora, NY 14052-9781

Mailing address

730 Olean Rd
East Aurora, NY 14052-9781
Phone (716) 240-2220

Other names 1

  • The Rural Outreach Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201111000659 NY Part B Supplier - Clinic/Group Practice 6002226602 Receives reassigned benefits from 3 practitioners
Practice locations: East Aurora, NY

National Provider Directory

National Provider Directory

Locations

730 Olean Rd
East Aurora, NY 14052
Phone (716) 240-2220

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1891311965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 OLEAN RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529781",
            "telephone_number": "716-240-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 OLEAN RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529781",
            "telephone_number": "716-240-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RURAL OUTREACH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "ALBEE",
        "authorized_official_title_or_position": "DIRECTOR OF DEVELOPMENT, COO",
        "authorized_official_telephone_number": "716-240-2220"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rural Outreach Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Rural Outreach Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.