Claxton-Hepburn Medical Center
Organization Active NPI Rural Health Clinic/Center · Canton, NY
NPI 1124634175 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1124634175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CLAXTON-HEPBURN MEDICAL CENTER
- Practice address
- 39 W Main St
Canton, NY 13617-1358 - Phone
- (315) 379-4700
- NPI assigned
- Sep 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Richard Duvall
- Title
- Ceo
- Phone
- (315) 713-5237
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Dec 19, 2023 | Change of Ownership |
Carthage Area Hospital Inc |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
39 W Main St
Canton, NY 13617-1358
Mailing address
214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600
Other names
- Canton Health Center
Other providers in Canton, NY
- Randyl Shane Chase
- Megan Elizabeth Chevrier
- Gena Marie Chiasson
- Arthur J. Clark
- Tyler Clark
- Mary K Coakley
- Dawn M Colbert
- Martha J Cole
- Rebecca Lynn Collins
- Dawn Marie Conklin
All providers in Canton, NY · Rural Health Clinic/Center 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 Jan 26, 2022. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.