National Provider Identifier
Mary M. Gooley Hemophilia Center Inc
Mary M. Gooley Hemophilia Center Inc is listed in the NPPES registry with a primary specialty of Clinic/Center in Rochester, NY and a listed phone number of (585) 922-5700.
Source: public NPPES record, last updated March 02, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1568428621
- Provider Type
- Organization
- Primary Specialty
- Clinic/Center
- Enumeration Date
- April 25, 2006
- Last Updated
- March 02, 2021
Practice Location
- 1415 Portland Ave
- Suite 500
- Rochester, NY 14621-3038
Phone: (585) 922-5700
Mailing Address
- 1415 Portland Ave Ste 500
- Rochester, NY 14621-3043
Authorized Official
- Name
- Mr. Tom Wilmarth
- Title
- President/CEO
- Phone
- (585) 922-5700
Specialties
- Clinic/Center (261Q00000X)
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Organization Overview
MARY M. GOOLEY HEMOPHILIA CENTER INC., operating as the Mary M. Gooley Hemophilia Center, is an independent, federally designated hemophilia treatment center in Rochester, New York. The center serves people across a surrounding 14-county region and provides comprehensive care for hemophilia, von Willebrand disease, other rare bleeding disorders, hemochromatosis, and Gaucher’s disease. Its history traces back to 1959, when Mary Gooley established a formal hemophilia treatment center that became one of the country’s earliest such centers and the first organized as a free-standing clinic.
Full Record
- NPI
- 1568428621
- Entity Type
- Organization
- Organization Name
- Mary M. Gooley Hemophilia Center Inc
- Mailing Street Address
- 1415 Portland Ave Ste 500
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3043
- Mailing Country
- US
- Mailing Phone
- (585) 922-5700
- Mailing Fax
- (585) 922-5775
- Practice Street Address
- 1415 Portland Ave
- Practice Address Line 2
- Suite 500
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3038
- Practice Country
- US
- Practice Phone
- (585) 922-5700
- Practice Fax
- (585) 922-5775
- Enumeration Date
- April 25, 2006
- Last Updated
- March 02, 2021
- Authorized Official Last Name
- Wilmarth
- Authorized Official First Name
- Tom
- Authorized Official Title
- President/CEO
- Authorized Official Phone
- (585) 922-5700
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Certification Date
- March 02, 2021
- Taxonomies
- Clinic/Center (261Q00000X)
- Other Identifiers
- 000921985001 (NY, Bcwny/Healthnow), 103346CJ (NY, Preferred Care), 00355284 (NY), 014005944 (NY, Blue Choice), 50 (NY, Blue Cross), 5643168 (NY, Aetna)