| Community Memorial Hospital | |
|
3460 South St Morrisville NY 13408-9671 | |
| (315) 684-3117 | |
| Not Available |
| Full Name | Community Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 3460 South St, Morrisville, New York |
| Authorized Official Name and Position | Jason Liebel (VP FINANCE) |
| Authorized Official Contact | 3158246550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Memorial Hospital 150 Broad St Hamilton NY 13346-9575 Ph: (315) 824-6091 | Community Memorial Hospital 3460 South St Morrisville NY 13408-9671 Ph: (315) 684-3117 |
| NPI Number | 1902333149 |
|---|---|
| Provider Enumeration Date | 05/18/2017 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 6103805163 |
|---|---|
| Medicare Enrollment ID | O20160901001796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902333149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |