Community Memorial Hospital, INC
Family Medicine in Munnsville, NY. Organization (NPI-2).
NPI number1699371013
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1699371013
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Memorial Hospital, INC
- Organization subpart
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- Nov 2, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 261QR1300X | Clinic/Center, Rural Health | – | – |
Practice location
5180 S Main StMunnsville, NY 13409-4058
Phone 315-495-2690 · Fax 315-495-3915
Mailing address
150 Broad StHamilton, NY 13346-9575
Phone 315-824-7088 · Fax 315-648-6413
Authorized official
Carrie Bova
Executive Director, Business
3158246560
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