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4100 Baldwin Rd Rushville NY 14544-9738 | |
(585) 287-8844 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 4100 Baldwin Rd, Rushville, New York |
Authorized Official Name and Position | Lisa Olscamp (CFO) |
Authorized Official Contact | 5852878858 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1 S Washington St Ste 300 Rochester NY 14614-1134 Ph: (585) 325-2280 | 4100 Baldwin Rd Rushville NY 14544-9738 Ph: (585) 287-8844 |
NPI Number | 1336984178 |
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Provider Enumeration Date | 06/25/2024 |
Last Update Date | 09/24/2024 |
Medicare PECOS PAC ID | 4385826585 |
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Medicare Enrollment ID | O20240912003187 |
Identifier | Type | State | Issuer |
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1336984178 | NPI | - | NPPES |
00618199 | Medicaid | NY |
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