BROOKS - TLC HOSPITAL SYSTEM, INC. — NPI 1487738886 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in GOWANDA, NY)

CMS-1500 Box 24J / 33a • NPI

1487738886

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QU0200X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

34 COMMERCIAL ST, GOWANDA, NY, 14070-1408

✓ 9-Digit EDI 837 ZIP+4 (14070-1408)

Practice Phone & Referral Fax

(716) 532-8100

Fax: (716) 241-7365

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487738886 (BROOKS - TLC HOSPITAL SYSTEM, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1487738886` (NPI-2 Organization / Facility)
Provider / Legal Name	BROOKS - TLC HOSPITAL SYSTEM, INC.
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QU0200X` (Clinic/Center, Urgent Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	34 COMMERCIAL ST, GOWANDA, NY, 14070-1408
Practice Telephone / Fax	Tel: (716) 532-8100 \| Fax: (716) 241-7365
Administrative Mailing Address	529 CENTRAL AVE, DUNKIRK, NY, 14048-2514
Enumeration & Last Sync	Enumerated: 2006-10-24 \| CMS Record Updated: 2024-11-08
Authorized Official	KEN MORRIS (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

34 COMMERCIAL ST, GOWANDA, NY, 14070-1408

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Plain-English Taxonomy & CMS Crosswalk (261QU0200X)

What Does Taxonomy Code 261QU0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QU0200X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BROOKS - TLC HOSPITAL SYSTEM, INC.)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QU0200X` — Clinic/Center, Urgent Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`282N00000X` — General Acute Care Hospital Plain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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BROOKS - TLC HOSPITAL SYSTEM, INC. (NPI #1487738886)