| Chenango Memorial Hospital, Inc. | |
|
179 N Broad St Norwich NY 13815-1019 | |
| (607) 337-4111 | |
| (607) 337-4293 |
| Full Name | Chenango Memorial Hospital, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 179 N Broad St, Norwich, New York |
| Authorized Official Name and Position | Drake Lamen (PRESIDENT & CEO) |
| Authorized Official Contact | 6073374113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chenango Memorial Hospital, Inc. 179 N Broad St Norwich NY 13815-1019 Ph: (607) 337-4111 | Chenango Memorial Hospital, Inc. 179 N Broad St Norwich NY 13815-1019 Ph: (607) 337-4111 |
| NPI Number | 1467526889 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 7517853633 |
|---|---|
| Medicare Enrollment ID | O20240327003753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467526889 | NPI | - | NPPES |
| 330033 | Other | NY | MEDICARE ID |
| 0824000H | Other | OPER CERT# |
| Provider Name | Kabir Gandhi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629365275 PECOS PAC ID: 7810289048 Enrollment ID: I20200103001926 |
Harry Stack Sullivan Mental Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Court St, Suite 42, County Office Building, Norwich, NY 13815 Phone: 607-337-1602 Fax: 607-334-4519 | |
Mark P. Vogel, Ph.d And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Midland Dr, Norwich, NY 13815 Phone: 607-336-9914 Fax: 607-334-4881 | |
Harry Stack Sullivan Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Court St, Suite 42, County Office Building, Norwich, NY 13815 Phone: 607-337-1602 Fax: 607-334-4519 |