Provider Demographics
NPI:1972548568
Name:HIGHLAND HOSPITAL OF ROCHESTER
Entity type:Organization
Organization Name:HIGHLAND HOSPITAL OF ROCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:ANOLIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-275-3033
Mailing Address - Street 1:1000 SOUTH AVE
Mailing Address - Street 2:PT ACCTS DEPT - BOX 76
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-2733
Mailing Address - Country:US
Mailing Address - Phone:585-784-9383
Mailing Address - Fax:585-756-8547
Practice Address - Street 1:1000 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-2733
Practice Address - Country:US
Practice Address - Phone:585-473-2200
Practice Address - Fax:585-341-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2701001H282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02998245Medicaid
NY012005902OtherROCHESTER BL CHOICE IP
NY00354307Medicaid
NY70006AOtherMEDICARE PART B CARRIER
NY014005902OtherROCHESTER BL CHOICE OP
NY02OtherROCHESTER BLUE CROSS
NY100000CFOtherPREFERRED CARE
NY02998245Medicaid
=========OtherAETNA COMMERCIAL INS