Cortland Community Reentry Program, INC
Point of Service in Cortland, NY. Organization (NPI-2).
NPI number1265578298
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1265578298
- Entity type
- Organization (NPI-2)
- Legal business name
- Cortland Community Reentry Program, INC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
149 Main StCortland, NY 13045-2926
Phone 607-753-8241 · Fax 607-753-0768
Mailing address
149 Main StCortland, NY 13045-2926
Phone 607-753-8241 · Fax 607-753-0768
Authorized official
Robert S. Austin
Business Manager
6077538241
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