COMMUNITY MEMORIAL HOSPITAL NPI 1477080604

NPI Information

NPI: 1477080604
Provider Name: COMMUNITY MEMORIAL HOSPITAL
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
117 W MAIN ST
WATERVILLE, NY
ZIP 13480
Phone: (315) 841-4184
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COMMUNITY MEMORIAL HOSPITAL is a rural health clinic center in Waterville, NY. COMMUNITY MEMORIAL HOSPITAL NPI is 1477080604. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

117 W MAIN ST
WATERVILLE, NY
ZIP 13480-165
Phone: (315) 841-4184

The provider's authorized official is Jason Liebel .
The authorized official title is Vp Finance and has the following contact phone number (315) 824-6550.

The enumeration date for this NPI number is 5/18/2017 and was last updated on 11/2/2023.

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	Primary
1	207Q00000X	Family Medicine		No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261QR1300X	Clinic/Center	Rural Health	Yes

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: 4/28/2024

NPI Synchronization or Removal

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