NPIMap

Organization Active NPI

Claxton-Hepburn Medical Center

  • Clinical Medical Laboratory
  • Ogdensburg, NY
National Provider Identifier
1457082000
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CLAXTON-HEPBURN MEDICAL CENTER
Practice address
214 King St
Ogdensburg, NY 13669-1142
Phone
(315) 393-3600
NPI assigned
Jun 23, 2022
Organization subpart
Yes
Parent organization
CLAXTON-HEPBURN MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

214 King St
Ogdensburg, NY 13669-1142

Mailing address

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

Other names 1

  • Claxton-Hepburn Reference Lab Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2261908Claxton Medical Pediatrics214 King Street, Suite a, Ogdensburg, NY 13669Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Claxton Hepburn Medical Center4 organizations share this tax ID, including this one
Part of
Claxton Hepburn Medical Center

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1457082000",
    "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": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-393-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAXTON-HEPBURN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAXTON-HEPBURN MEDICAL CENTER",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claxton-Hepburn Reference Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.