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EASTERN NIAGARA HOSPITAL, INC
NPI 1063400539
General Acute Care Hospital in Lockport, NY

Active since October 10, 2005CLIA 33D0169211 · Waiver
521 EAST AVE, LOCKPORT, NY 14094(716) 514-5501(716) 514-5549 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Niagara Hospital, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN NIAGARA HOSPITAL, INC (NPI 1063400539) is a healthcare organization registered as a general acute care hospital in Lockport, New York and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michael Francis Ickowski, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1063400539
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameEASTERN NIAGARA HOSPITAL, INC
Location Address521 EAST AVELockport, NY 14094-3201
Mailing Address521 East AveLockport, NY 14094-3201 · (716) 514-5501 · Fax (716) 514-5549
Phone(716) 514-5501
Fax(716) 514-5549
Organization SubpartNo
Authorized OfficialMichael Francis IckowskiChief Financial Officer · (716) 514-5501
Enumeration DateOctober 10, 2005
Last NPPES UpdateJuly 12, 2016
✔ NPI 1063400539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in NY · 3101000H
Definition
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.
Also ListedClinic/Center · End-Stage Renal Disease (ESRD) TreatmentTaxonomy 261QE0700X
521 EAST AVE, Lockport, NY 14094
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Other Identifiers 7

Other89NY · Iha Billing #
Other000000030000NY · Bcbs Billing #
Medicaid00354389NY
Other000000031000NY · Bcbs Billing #
Other13NY · Iha Billing #
Other00011412701NY · Univera Billing #
Medicare OSCAR/certification330163NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0169211

Eastern Niagara Hospital 5875 S Transit · Lockport, NY
Active · expires Mar 26, 2027
CLIA Number33D0169211
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 1, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Donald M. Slate
Laboratory Phone(716) 433-2025
Laboratory LocationEastern Niagara Hospital 5875 S Transit5875 S Transit, Lockport, NY 14094
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD MICHAEL SLATE MD
Pathology (Anatomic Pathology & Clinical Pathology)
521 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 514-5656
JANICE E ERRICK MD
Pathology (Anatomic Pathology & Clinical Pathology)
521 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 514-5650
PARAG DESAI MD
Hospitalist
521 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 514-5700
JOHN C. HAUMESSER, M.D., P.C.
Orthopaedic Surgery
521 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 433-7477
COLIN J MCMAHON MD
Internal Medicine
521 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 514-5700
RUDOLPH M SADA, MD
Nuclear Medicine (Nuclear Imaging & Therapy)
521 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 514-5853
JULIE ANN HARRINGTON CRNA
Nurse Anesthetist, Certified Registered
521 EAST AVE
LOCKPORT, NY 14094
Niagara County (715) 514-5643
TIMOTHY JOHN SHAUGHNESSY LMSW
Social Worker
521 EAST AVE
LOCKPORT, NY 14094
Niagara County (716) 514-5540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Niagara Hospital, Inc's NPI number?

The NPI number for Eastern Niagara Hospital, Inc is 1063400539. It was assigned to this organization in the NPPES registry on October 10, 2005.

Where is Eastern Niagara Hospital, Inc located?

Eastern Niagara Hospital, Inc is located at 521 East Ave, Lockport, NY 14094. The listed phone number is (716) 514-5501.

What is Eastern Niagara Hospital, Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Eastern Niagara Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0169211) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Niagara Hospital, Inc was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.