National Provider Identifier Database

HOSPICE OF ST LAWRENCE VALLEY INC
Hospice Care, Community Based


Contact Information

HOSPICE OF ST LAWRENCE VALLEY INC
6805 US HIGHWAY 11
POTSDAM, NY13676-3131
Phone: 315-265-3105
Fax: 315-265-0323
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for HOSPICE OF ST LAWRENCE VALLEY INC

NPI Number 1497758080
Legal business name
LBN
HOSPICE OF ST LAWRENCE VALLEY INC
Authorized official RUTH FISHBECK - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/27/2005
Last updated 12/07/2018 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 4429501F
  • NY Medicaid: 00977028

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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