Organization Active NPI

Hartwick College Perrella Health Center

  • Student Health Clinic/Center
  • Oneonta, NY
National Provider Identifier
1023567625
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
F336903 Issued in NY
Legal business name
HARTWICK COLLEGE PERRELLA HEALTH CENTER
Practice address
1 Hartwick Dr
Perrella Health Center
Oneonta, NY 13820-4000
Phone
(607) 431-4120
Fax
(607) 431-4124
NPI assigned
Sep 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Authorized official

Name
Ms. Amy Jo Gardner, FNP-C
Title
Interim Director/Provider
Phone
(607) 431-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X F336903 NY Primary

Addresses

Primary practice location

1 Hartwick Dr
Perrella Health Center
Oneonta, NY 13820-4000

Mailing address

1 Hartwick Dr
Perrella Health Center
Oneonta, NY 13820-4000
Phone (607) 431-4120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474761600000",
    "number": "1023567625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARTWICK DR",
            "address_2": "PERRELLA HEALTH CENTER",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138204000",
            "telephone_number": "607-431-4120",
            "fax_number": "607-431-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARTWICK DR",
            "address_2": "PERRELLA HEALTH CENTER",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138204000",
            "telephone_number": "607-431-4120",
            "fax_number": "607-431-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTWICK COLLEGE PERRELLA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-25",
        "last_updated": "2016-09-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "INTERIM DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "607-431-4120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NY",
            "license": "F336903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; 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.