Organization Active NPI

Elcor Health Services, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Horseheads, NY
National Provider Identifier
1013138080
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
0722303N Issued in NY
Legal business name
ELCOR HEALTH SERVICES, INC.
Practice address
48 Colonial Dr
Horseheads, NY 14845-8532
Phone
(607) 739-0304
Fax
(607) 796-0540
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard W. Poes
Title
President
Phone
(607) 739-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 0722303N NY Primary

Addresses

Primary practice location

48 Colonial Dr
Horseheads, NY 14845-8532

Mailing address

48 Colonial Dr
Horseheads, NY 14845-8532
Phone (607) 739-0304

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1013138080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 COLONIAL DR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458532",
            "telephone_number": "607-739-0304",
            "fax_number": "607-796-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 COLONIAL DR",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458532",
            "telephone_number": "607-739-0304",
            "fax_number": "607-796-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCOR HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "POES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-739-0304"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "0722303N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.