| St Lawrence County | |
|
80 State Highway 310 Ste 2 Canton NY 13617-1476 | |
| (315) 386-2325 | |
| (315) 386-2203 |
| Full Name | St Lawrence County |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 State Highway 310 Ste 2, Canton, New York |
| Authorized Official Name and Position | Debra Bridges (FISCAL MANAGER) |
| Authorized Official Contact | 3152293405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lawrence County 80 State Highway 310 Ste 2 Canton NY 13617-1476 Ph: (315) 386-2325 | St Lawrence County 80 State Highway 310 Ste 2 Canton NY 13617-1476 Ph: (315) 386-2325 |
| NPI Number | 1861551822 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 12/01/2015 |
| Medicare PECOS PAC ID | 9436249224 |
|---|---|
| Medicare Enrollment ID | O20140811000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861551822 | NPI | - | NPPES |
| 04006057 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | 4423200R (New York) | Primary |
| Provider Name | Christopher E Comeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184633273 PECOS PAC ID: 4880677277 Enrollment ID: I20040608000589 |
Claxton-hepburn Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 | |
Carthage Area Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 W Main St, Canton, NY 13617 Phone: 315-379-4700 Fax: 315-713-6512 | |
Canton Family Physicians, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 E Main St, East Wing, Suite 1a, Canton, NY 13617 Phone: 315-386-8184 | |
Healey Medical Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Park St, Canton, NY 13617 Phone: 315-379-9158 Fax: 315-379-9604 | |
United Cerebral Palsy Association Of The North Country, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 Commerce Ln, Canton, NY 13617 Phone: 315-386-1156 Fax: 315-379-9388 | |
Canton-potsdam Medical Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 East Main Street, Canton, NY 13617 Phone: 315-265-3300 Fax: 315-261-6025 |