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Contact Information

COMMUNITY MEMORIAL HOSPITAL
117 W MAIN ST
WATERVILLE, NY13480-1165
 Phone: 315-841-4184
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for COMMUNITY MEMORIAL HOSPITAL

NPI Number 1477080604
LBN Legal business name COMMUNITY MEMORIAL HOSPITAL
Authorized official JASON LIEBEL - (VP FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2017
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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