EASTERN NIAGARA HOSPITAL INC NPI 1063400539

NPI Information

NPI: 1063400539
Provider Name: EASTERN NIAGARA HOSPITAL, INC
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address: 521 EAST AVE
LOCKPORT, NY
ZIP 14094
Phone: (716) 514-5501

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NPI Details

EASTERN NIAGARA HOSPITAL, INC is a general acute care hospital in Lockport, NY. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. EASTERN NIAGARA HOSPITAL, INC NPI is 1063400539. The provider is registered as an organization entity type.

The provider's business location address is:

521 EAST AVE
LOCKPORT, NY
ZIP 14094-201
Phone: (716) 514-5501
Fax: (716) 514-5549

The provider's authorized official is Michael Francis Ickowski .
The authorized official title is Chief Financial Officer and has the following contact phone number (716) 514-5501.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 7/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			No
2	282N00000X	General Acute Care Hospital		3101000H	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	89	OTHER	NEW YORK	IHA BILLING #
2	000000030000	OTHER	NEW YORK	BCBS BILLING #
3	00354389	MEDICAID	NEW YORK
4	000000031000	OTHER	NEW YORK	BCBS BILLING #
5	13	OTHER	NEW YORK	IHA BILLING #
6	00011412701	OTHER	NEW YORK	UNIVERA BILLING #
7	330163	MEDICARE OSCAR/CERTIFICATION	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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