Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 39 W Main St, Canton, New York |
Authorized Official Name and Position | Morgan L Pierce (VP OF FINANCE) |
Authorized Official Contact | 3155195725 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1001 West St Carthage NY 13619-9703 Ph: (315) 519-5724 | 39 W Main St Canton NY 13617-1358 Ph: (315) 379-4700 |
NPI Number | 1154193233 |
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Provider Enumeration Date | 10/23/2023 |
Last Update Date | 10/25/2023 |
Medicare PECOS PAC ID | 9931010485 |
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Medicare Enrollment ID | O20231228001299 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154193233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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