| Community Memorial Hospital, Inc | |
|
3045 John Trush Jr Blvd Ste 1 Cazenovia NY 13035-9557 | |
| (315) 815-1430 | |
| (315) 655-1113 |
| Full Name | Community Memorial Hospital, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3045 John Trush Jr Blvd Ste 1, Cazenovia, New York |
| Authorized Official Name and Position | Carr Bova (EXECUTIVE DIRECTOR, BUSINESS) |
| Authorized Official Contact | 3158246560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Memorial Hospital, Inc 150 Broad St Hamilton NY 13346-9575 Ph: (315) 824-7088 | Community Memorial Hospital, Inc 3045 John Trush Jr Blvd Ste 1 Cazenovia NY 13035-9557 Ph: (315) 815-1430 |
| NPI Number | 1679179006 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679179006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Cazenovia College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Seminary St, Cazenovia, NY 13035 Phone: 315-655-7122 |