Cgsr, Inc | |
154 Prospect Ave Plattsburgh NY 12901-1302 | |
(518) 563-5440 | |
(518) 563-1206 |
Full Name | Cgsr, Inc |
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Speciality | Skilled Nursing Facility |
Location | 154 Prospect Ave, Plattsburgh, New York |
Authorized Official Name and Position | Paul F. Richards (ADMINISTRATOR) |
Authorized Official Contact | 5185635440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cgsr, Inc 154 Prospect Ave Plattsburgh NY 12901-1302 Ph: (518) 563-5440 | Cgsr, Inc 154 Prospect Ave Plattsburgh NY 12901-1302 Ph: (518) 563-5440 |
NPI Number | 1215930292 |
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Provider Enumeration Date | 05/24/2005 |
Last Update Date | 12/31/2019 |
Medicare PECOS PAC ID | 7012900202 |
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Medicare Enrollment ID | O20040405000900 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215930292 | NPI | - | NPPES |
0140 | Other | NY | PFI |
0901303N | Other | NY | OPERATING CERTIFICATE NUM |
02994732 | Medicaid | NY | |
08-41529-7 | Other | NY | NYS EMPLOYER ID |
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