| Geneva General Hospital, Inc | |
| 
					4 W Genesee St Clyde NY 14433-1126  | |
| (315) 923-3640 | |
| Not Available | 
| Full Name | Geneva General Hospital, Inc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 4 W Genesee St, Clyde, New York | 
| Authorized Official Name and Position | Trisha Koczent (CFO & TREASURER) | 
| Authorized Official Contact | 3157874030 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Geneva General Hospital, Inc 4 W Genesee St Clyde NY 14433-1126 Ph: (315) 923-3640  | Geneva General Hospital, Inc 4 W Genesee St Clyde NY 14433-1126 Ph: (315) 923-3640  | 
| NPI Number | 1255087003 | 
|---|---|
| Provider Enumeration Date | 03/01/2022 | 
| Last Update Date | 03/01/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255087003 | NPI | - | NPPES | 
| 03029229 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |