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8550 State Highway 28 Richfield Springs NY 13439-4830 | |
(315) 858-0040 | |
(315) 858-0075 |
Full Name | |
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Speciality | Clinic/Center |
Location | 8550 State Highway 28, Richfield Springs, New York |
Authorized Official Name and Position | James Vielkind (VICE PRESIDENT FINANCE) |
Authorized Official Contact | 3158235281 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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140 Burwell Street Little Falls NY 13365-1725 Ph: (315) 823-5281 | 8550 State Highway 28 Richfield Springs NY 13439-4830 Ph: (315) 858-0040 |
NPI Number | 1912554791 |
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Provider Enumeration Date | 08/26/2019 |
Last Update Date | 02/07/2020 |
Medicare PECOS PAC ID | 3678550837 |
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Medicare Enrollment ID | O20200123001265 |
Identifier | Type | State | Issuer |
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1912554791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |