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Carthage Area Hospital INC

Clinic/Center, Rural Health in Philadelphia, NY. Organization (NPI-2).

NPI number1124535604
StatusActive
Last updated in NPPESFeb 18, 2021

Details

NPI
1124535604
Entity type
Organization (NPI-2)
Legal business name
Carthage Area Hospital INC
Organization subpart
No
Enumeration date
Jan 5, 2018
Certification date
Feb 18, 2021
Last updated
Feb 18, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - RURAL HEALTH CLINIC
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1300X Clinic/Center, Rural Health2238700CNYYes

Practice location

32787 Us Route 11
Philadelphia, NY 13673

Phone 315-642-0216 · Fax 315-654-0928

Mailing address

1001 West St
Carthage, NY 13619-9703

Phone 315-493-1000 · Fax 315-493-0105

Authorized official

Richard Duvall
Ceo
3155195207

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