| Carthage Area Hospital Inc | |
|
32787 Us Route 11 Philadelphia NY 13673 | |
| (315) 642-0216 | |
| (315) 654-0928 |
| Full Name | Carthage Area Hospital Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 32787 Us Route 11, Philadelphia, New York |
| Authorized Official Name and Position | Richard Duvall (CEO) |
| Authorized Official Contact | 3155195207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carthage Area Hospital Inc 1001 West St Carthage NY 13619-9703 Ph: (315) 493-1000 | Carthage Area Hospital Inc 32787 Us Route 11 Philadelphia NY 13673 Ph: (315) 642-0216 |
| NPI Number | 1124535604 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 9931010485 |
|---|---|
| Medicare Enrollment ID | O20180417001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124535604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 2238700C (New York) | Primary |
Gouverneur Family Health Np Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Clark St, Philadelphia, NY 13673 Phone: 315-804-5753 |