National Provider Identifier Database

COMMUNITY MEMORIAL HOSPITAL
Critical Access


Contact Information

COMMUNITY MEMORIAL HOSPITAL
150 BROAD ST
HAMILTON, NY13346-9575
Phone: 315-824-6082
Fax: 315-824-3182
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
General Acute Care Hospital 282N00000X
Medicare Defined Swing Bed Unit 275N00000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY MEMORIAL HOSPITAL

NPI Number 1992707608
Legal business name
LBN
COMMUNITY MEMORIAL HOSPITAL
Authorized official JEFFERY COAKLEY - (CEO AND PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/12/2005
Last updated 02/17/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 2625000H
  • NY License #: 2625700C
  • NY Medicaid: 00354229

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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