Claxton-Hepburn Medical Center
Clinic/Center, Rural Health in Ogdensburg, NY. Organization (NPI-2).
NPI number1164038113
StatusActive
Last updated in NPPESSep 16, 2020
Details
- NPI
- 1164038113
- Entity type
- Organization (NPI-2)
- Legal business name
- Claxton-Hepburn Medical Center
- Organization subpart
- No
- Enumeration date
- Sep 16, 2020
- Certification date
- Sep 16, 2020
- Last updated
- Sep 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Claxton Health Center (Other Name)
Practice location
100 Horwood PlOgdensburg, NY 13669-4510
Phone 315-394-9462
Mailing address
214 King StOgdensburg, NY 13669-1142
Phone 315-393-3600
Authorized official
Richard Duvall
Ceo
3157135237
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