| Clinton County | |
|
133 Margaret Street Plattsburgh NY 12901 | |
| (518) 565-4840 | |
| (518) 565-4717 |
| Full Name | Clinton County |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 Margaret Street, Plattsburgh, New York |
| Authorized Official Name and Position | Maria Cadieux (HEALTH FACILITY COMPTROLLER) |
| Authorized Official Contact | 5185653284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton County 133 Margaret St Fl 3 Plattsburgh NY 12901-2926 Ph: (518) 565-4840 | Clinton County 133 Margaret Street Plattsburgh NY 12901 Ph: (518) 565-4840 |
| NPI Number | 1114979945 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 10/25/2024 |
| Medicare PECOS PAC ID | 7618960600 |
|---|---|
| Medicare Enrollment ID | O20120320000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114979945 | NPI | - | NPPES |
| 00583757 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 09012008 (New York) | Secondary |
| 261Q00000X | Clinic/center | 0901200R (New York) | Primary |
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