PATHFINDER VILLAGE, INC; NPI #1821284480

Contact Information

PATHFINDER VILLAGE, INC

3 CHENANGO ROAD
EDMESTON, NY 13335

Phone: 607-965-8377
Fax: 607-965-8655
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for PATHFINDER VILLAGE, INC

NPI # 1821284480

LBN Legal business name PATHFINDER VILLAGE, INC

Authorized official EDWARD SHAFER - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/18/2007

Last updated 09/18/2007 - About 19 years ago

Identifiers

NY	License #	0493493
NY	Medicaid	02004548
NY	Medicaid	02248346

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PATHFINDER VILLAGE, INC

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for PATHFINDER VILLAGE, INC

Reviews for PATHFINDER VILLAGE, INC