National Provider Identifier
Adult Complex Care Center
Adult Complex Care Center is listed in the NPPES registry with a primary specialty of Primary Care Clinic/Center in Rochester, NY and a listed phone number of (585) 276-7900.
Profile Overview
- NPI
- 1053778654
- Provider Type
- Organization
- Primary Specialty
- Primary Care Clinic/Center
- Enumeration Date
- January 27, 2016
- Last Updated
- August 10, 2022
Practice Location
- 905 Culver RD
- Rochester, NY 14609-7115
Phone: (585) 276-7900
Mailing Address
- 601 Elmwood Ave Box 635
- Rochester, NY 14642-0001
Specialties
- Primary Care Clinic/Center (261QP2300X)
Full Record
- NPI
- 1053778654
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Adult Complex Care Center
- Mailing Street Address
- 601 Elmwood Ave Box 635
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 784-9750
- Practice Street Address
- 905 Culver RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-7115
- Practice Country
- US
- Practice Phone
- (585) 276-7900
- Practice Fax
- (585) 275-2352
- Enumeration Date
- January 27, 2016
- Last Updated
- August 10, 2022
- Authorized Official Last Name
- Hetterich
- Authorized Official First Name
- Jill
- Authorized Official Middle Name
- M
- Authorized Official Title
- Senior Director Of Finance, Urmfg
- Authorized Official Phone
- (585) 756-4008
- Organization Subpart
- No
- Certification Date
- August 10, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Primary Care Clinic/Center (261QP2300X)