Champlain Valley Physicians Hospital Medical Center

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

011772 Issued in NY

Legal business name

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER

Doing business as

Champlain Valley Physicians Medical Center Pharmacy

Practice address

214 Cornelia St
Plattsburgh, NY 12901-2317

Phone

(518) 562-7155

Fax

(518) 562-7183

NPI assigned

Jul 22, 2006

Last updated

Feb 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Lebeau

Title

President/Coo

Phone

(518) 562-7055

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CHAMPLAIN VALLEY PHYSICIANS MEDICAL CENTER PHARMACY Doing business as

Tax ID family

Champlain Valley Phys H3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Champlain Valley Physicians Hospital Medical Center

  • General Acute Care Hospital
  • Plattsburgh, NY
  • NPI 1033270699
  NPD tax ID
• Champlain Valley Physicians Hospital Medical Center

  • Skilled Nursing Facility
  • Plattsburgh, NY
  • NPI 1215098876
  NPD tax ID

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1073534046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BEEKMAN ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011438",
            "telephone_number": "518-562-7557",
            "fax_number": "518-562-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CORNELIA ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012317",
            "telephone_number": "518-562-7155",
            "fax_number": "518-562-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "LEBEAU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "518-562-7055"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NY",
            "license": "011772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00318814",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMPLAIN VALLEY PHYSICIANS MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Champlain Valley Gastroenterlogy PC
• Champlain Valley Medical Anesthesia Services, PC
• Champlain Valley Open MRI LLC
• Champlain Valley Pathology, PLLC
• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Physicians Hospital Medical Center (CVPH Outpatient Pharmacy)
• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Psychiatric Associates

• Institutional Pharmacy in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Institutional Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.