| Cmh-main Street Family Care | |
|
130 Main St Cairo NY 12413-3112 | |
| (518) 622-3200 | |
| Not Available |
| Full Name | Cmh-main Street Family Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 130 Main St, Cairo, New York |
| Authorized Official Name and Position | Bryan T. Mahoney (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5188288090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmh-main Street Family Care Po Box 2000 Hudson NY 12534-2000 Ph: (518) 697-3258 | Cmh-main Street Family Care 130 Main St Cairo NY 12413-3112 Ph: (518) 622-3200 |
| NPI Number | 1518550037 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518550037 | NPI | - | NPPES |
| 03227290 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Cairo Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4383 Route 23, Cairo, NY 12413 Phone: 518-622-8525 Fax: 518-622-9104 | |
Columbia Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4383 Route 23, Cairo, NY 12413 Phone: 518-697-3061 Fax: 518-697-3059 |