Southern Tier Priority Healthcare

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHERN TIER PRIORITY HEALTHCARE

Practice address

130 Lattabrook Rd
Horseheads, NY 14845-8501

Phone

(607) 795-5215

Fax

(607) 795-5219

NPI assigned

Apr 4, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Reeda Irene Clark

Title

Executive Director

Phone

(607) 795-5215

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Southern Tier Priority Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southern Tier Priority Healthcare

  • Health Maintenance Organization
  • Horseheads, NY
  • NPI 1952596611
  NPD tax ID

Locations

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1265798169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LATTABROOK RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458501",
            "telephone_number": "607-795-5215",
            "fax_number": "607-795-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LATTABROOK RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458501",
            "telephone_number": "607-795-5215",
            "fax_number": "607-795-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER PRIORITY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "REEDA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-795-5215",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01381319",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared M Smith, M.D.
• Victoria L Smith, FNP-C
• Amanda Malvica Snell, AUD
• Sound Nutrition Services
• Southern Tier Pediatrics PC
• Southern Tier Priority Healthcare
• Jennifer Bauer Sovik, LMSW
• Eleanor Sarokin Stein, MD
• Karen Frances Strayer, LPN
• Sean Allen Stryker, MD

• Case Management Agency in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.