Claxton-Hepburn Medical Center

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CLAXTON-HEPBURN MEDICAL CENTER

Practice address

2263 State Highway 310
Madrid, NY 13660-3224

Phone

(315) 322-8947

NPI assigned

Sep 16, 2020

Last updated

Jan 26, 2022By the provider in NPPES

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

• Madrid 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

  dba Madrid Health Center

  • Rural Health Clinic/Center
  • Madrid, NY
  • NPI 1962274043

  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": "1643155200000",
    "number": "1437765484",
    "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": "2263 STATE HIGHWAY 310",
            "city": "MADRID",
            "state": "NY",
            "postal_code": "136603224",
            "telephone_number": "315-322-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON-HEPBURN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madrid Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Madrid Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabrielle Bentley, PA-C
• Carthage Area Hospital Inc (Madrid Health Center)
• Aram Federico Gomez, LMHC
• James Lyle Latimer, MD
• Madrid Rescue Squad Inc
• Madrid-Waddington Central School
• Rising Currents Wellness Nurse Practitioner in Psychiatry PLLC

• Rural Health Clinic/Center in Madrid, NY
• Providers in Madrid, 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 Jan 26, 2022; 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.