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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

NPI Number 1679179006
LBN Legal business name COMMUNITY MEMORIAL HOSPITAL, INC
Authorized official CARR BOVA - (EXECUTIVE DIRECTOR, BUSINESS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2020
Last updated 11/02/2023 - About 3 years ago
Identifiers n/a
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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