NPIMap

Organization Active NPI

Guthrie Ahc

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Carthage, NY
National Provider Identifier
1144565797
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
GUTHRIE AHC
Practice address
40 Franklin St
Carthage, NY 13619-1377
Phone
(315) 772-2778
NPI assigned
Dec 10, 2012
Organization subpart
Yes
Parent organization
GUTHRIE AHCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Nancy Draper
Title
Acting Ubo Manager
Phone
(315) 772-1755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

40 Franklin St
Carthage, NY 13619-1377

Mailing address

11050 Mount Belvedere Blvd
C/O Ubo
Fort Drum, NY 13602-5438
Phone (315) 772-4033

Other identifiers 1

IdentifierTypeStateIssuer
1730247156OtherPARENT BILLING FACILITY GUTHRIE AHC NPI

Other names 1

  • BH SATELLITE CLINIC-CARTHAGE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guthrie Ahc13 organizations share this tax ID, including this one
Part of
Guthrie Ahc

Other organizations with this tax ID 12

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

Locations

40 Franklin St
Carthage, NY 13619

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1144565797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "address_2": "C/O UBO",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-772-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191377",
            "telephone_number": "315-772-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE AHC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUTHRIE AHC",
        "enumeration_date": "2012-12-10",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ACTING UBO MANAGER",
        "authorized_official_telephone_number": "315-772-1755"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT BILLING FACILITY GUTHRIE AHC NPI",
            "identifier": "1730247156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BH SATELLITE CLINIC-CARTHAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.