Geneva General Hospital, Inc | |
4 W Genesee St Clyde NY 14433-1126 | |
(315) 923-3640 | |
Not Available |
Full Name | Geneva General Hospital, Inc |
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Speciality | Family Medicine |
Location | 4 W Genesee St, Clyde, New York |
Authorized Official Name and Position | Trisha Koczent (CFO & TREASURER) |
Authorized Official Contact | 3157874030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Geneva General Hospital, Inc 4 W Genesee St Clyde NY 14433-1126 Ph: (315) 923-3640 | Geneva General Hospital, Inc 4 W Genesee St Clyde NY 14433-1126 Ph: (315) 923-3640 |
NPI Number | 1255087003 |
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Provider Enumeration Date | 03/01/2022 |
Last Update Date | 03/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255087003 | NPI | - | NPPES |
03029229 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |