St Lawrence County Public Health - Clinic | |
80 State Highway 310 Ste 2 Canton NY 13617-1476 | |
(315) 386-2325 | |
(315) 386-2203 |
Full Name | St Lawrence County Public Health - Clinic |
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Speciality | Clinic/Center |
Location | 80 State Highway 310 Ste 2, Canton, New York |
Authorized Official Name and Position | Debra Bridges (FISCAL MANAGER) |
Authorized Official Contact | 3152293405 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Lawrence County Public Health - Clinic 80 State Highway 310 Ste 2 Canton NY 13617-1476 Ph: (315) 386-2325 | St Lawrence County Public Health - Clinic 80 State Highway 310 Ste 2 Canton NY 13617-1476 Ph: (315) 386-2325 |
NPI Number | 1861551822 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 12/01/2015 |
Medicare PECOS PAC ID | 9436249224 |
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Medicare Enrollment ID | O20140811000116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861551822 | NPI | - | NPPES |
04006057 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | 4423200R (New York) | Primary |
Provider Name | Christopher E Comeau |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184633273 PECOS PAC ID: 4880677277 Enrollment ID: I20040608000589 |
Canton Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 | |
Canton Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 Fax: 315-713-6512 | |
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