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Contact Information

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
214 CORNELIA ST
PLATTSBURGH, NY12901-2317
 Phone: 518-562-7155
 Fax: 518-562-7183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER

NPI Number 1073534046
LBN Legal business name CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
Authorized official MICHELLE LEBEAU - (PRESIDENT/COO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 02/21/2024 - About 2 years ago
Identifiers
NY License # 011772
NY Medicaid 00318814
Other 2063511 PK
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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