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OLEAN MEDICAL GROUP PARTNERSHIP NPI 1982798781


NPI Information

NPI: 1982798781
Provider Name: OLEAN MEDICAL GROUP PARTNERSHIP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 33D1021987

Address:
14 CENTER ST
CUBA, NY
ZIP 14727
Phone: (585) 968-3210
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OLEAN MEDICAL GROUP PARTNERSHIP is a multi-specialty clinic center in Cuba, NY. OLEAN MEDICAL GROUP PARTNERSHIP NPI is 1982798781. The provider is registered as an organization entity type.

The provider's business location address is:

14 CENTER ST
CUBA, NY
ZIP 14727-002
Phone: (585) 968-3210
Fax: (585) 968-3031

The provider's authorized official is Christine Strade .
The authorized official title is Ceo and has the following contact phone number (716) 372-0141.

The CLIA number assigned to this NPI record is 33D1021987 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 9/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103012168MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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