Claxton-Hepburn Medical Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CLAXTON-HEPBURN MEDICAL CENTER

Practice address

100 Horwood PL
Ogdensburg, NY 13669-4510

Phone

(315) 394-9462

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Richard Duvall

Title

Ceo

Phone

(315) 713-5237

Specialties & licenses 1

Addresses

Other names 1

• Claxton Health Center Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Carthage Area Hospital Inc

  • Rural Health Clinic/Center
  • Ogdensburg, NY
  • NPI 1528830742

  Sold to, 2023-12-19

  CMS change of ownership

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1164038113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-393-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HORWOOD PL",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694510",
            "telephone_number": "315-394-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON-HEPBURN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-713-5237"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claxton Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Claxton Hepburn Medical Center
• Claxton Hepburn Medical Center
• Claxton Hepburn Medical Center
• Claxton Medical PC
• Claxton Medical PC
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center
• Claxton-Hepburn Medical Center

• Rural Health Clinic/Center in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Rural Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.