Champlain Valley Physicians Hospital Medical Center
Organization Active NPI Community/Retail Pharmacy · Plattsburgh, NY
NPI 1124481700 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1124481700
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
- Practice address
- 75 Beekman St
Plattsburgh, NY 12901 - Phone
- (518) 562-7158
- Fax
- (518) 562-7183
- NPI assigned
- Apr 1, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
Authorized official
- Name
- Michelle Lebeau
- Title
- President, Coo
- Phone
- (518) 562-7023
Other NPIs with the same Medicare PAC ID 4
Practitioners 356
-
Aref Agheli, MD
-
Jerry Albujar, D.P.M
-
Vlada Alexeeva, M.D.
-
Alveena Altaf, MD
-
Sergio Apuzzo, MD, PHD
-
Joseph Henry Arguelles, M.D.
-
Tracy Ann Arguelles, ANP
-
Alexis Bailey, MD
-
Casey J Barcomb, PA-C
-
Robert L. Benak, MD
-
Elena Boland, M.D.
-
Tiffany Bombard, MD
-
Connor Joseph Bond, APRN, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161021000784 | NY | Part B Supplier - Pharmacy | 2769396878 | Practice locations: Plattsburgh, NY |
National Provider Directory
- Part of
- Champlain Valley Physicians Hospital Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
75 Beekman St
Plattsburgh, NY 12901
Mailing address
PO Box 2868
Plattsburgh, NY 12901-0259
Phone (518) 562-7158
Other names
- CVPH Outpatient Pharmacy
Other providers in Plattsburgh, NY
- 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
- Champlain Valley Physicians Hospital Medical Center
- Champlain Valley Physicians Hospital Medical Center
- Champlain Valley Psychiatric Associates
- Champlain Valley Vascular Surgery
- Changed by Christ Inc
All providers in Plattsburgh, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.