| Gannett Health Services | |
|
110 Ho Plaza Ithaca NY 14853-3101 | |
| (607) 255-6976 | |
| (607) 254-5042 |
| Full Name | Gannett Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Ho Plaza, Ithaca, New York |
| Authorized Official Name and Position | Jada M Hamilton (DIRECTOR) |
| Authorized Official Contact | 6072557492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gannett Health Services 110 Ho Plaza Ithaca NY 14853-3101 Ph: (607) 255-6976 | Gannett Health Services 110 Ho Plaza Ithaca NY 14853-3101 Ph: (607) 255-6976 |
| NPI Number | 1336276179 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 0446604979 |
|---|---|
| Medicare Enrollment ID | O20231002002045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336276179 | NPI | - | NPPES |
| 3339555 | Other | NY | NCPDP |
| 026826 | Other | NY | STATE LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 026826 (New York) | Primary |
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