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Contact Information

COMMUNITY MEMORIAL HOSPITAL, INC
3045 JOHN TRUSH JR BLVD STE 1
CAZENOVIA, NY13035-9557
 Phone: 315-815-1430
 Fax: 315-655-1113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for COMMUNITY MEMORIAL HOSPITAL INC · (Female)

NPI Number 1679179006
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2020
Last updated 11/02/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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