Active NPI
Chemung County Health Ctr.-Nursing Facility
- Long Term Care Pharmacy
- Elmira, NY
National Provider Identifier
1588686281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 014460
- Legal business name
- CHEMUNG COUNTY HEALTH CTR.-NURSING FACILITY
- Practice address
- 103 Washington St
Elmira, NY 14901-3220 - Phone
- (607) 737-2068
- Fax
- (607) 734-3021
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert E Page
- Title
- Administrator
- Phone
- (607) 737-2068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 014460 | NY | Primary |
Addresses
Primary practice location
103 Washington St
Elmira, NY 14901-3220
Mailing address
103 Washington St
Elmira, NY 14901-3220
Phone (607) 737-2068
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3321724 | Other | NCPDP | |
| 01776118 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- County of Chemung
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Elmira, NY
- NPI 1821142878
-
- Local Education Agency (LEA)
- Elmira, NY
- NPI 1053531202
-
- Case Management Agency
- Elmira, NY
- NPI 1457571515
-
- Home Health Agency
- Elmira, NY
- NPI 1528054194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1588686281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 WASHINGTON ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013220",
"telephone_number": "607-737-2068",
"fax_number": "607-734-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 WASHINGTON ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013220",
"telephone_number": "607-737-2068",
"fax_number": "607-734-3021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEMUNG COUNTY HEALTH CTR.-NURSING FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAGE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "607-737-2068",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NY",
"license": "014460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3321724",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01776118",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
- Roberta Darlene Cheatham, LMSW
- Chemung Arc
- Chemung County Dept. of Social Services
- Chemung County Early Intervention Program
- Chemung County Early Intervention Program
- Chemung Family Dental PLLC
- Chemung Medical Services PC
- Chemung-Schuyler Counties Chapter, Nysarc, Inc.
- Albert K Chen, MD
- Jing Ran Chen, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.