Organization Active NPI

Cortland Family Medical Center, Inc

  • Clinic/Center
  • Cortland, OH
National Provider Identifier
1609934611
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1369 Issued in OH
Legal business name
CORTLAND FAMILY MEDICAL CENTER, INC
Practice address
151 S High St
Cortland, OH 44410-1450
Phone
(330) 638-6121
NPI assigned
Dec 4, 2006
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Ernest Lee Foster, D.O.
Title
President
Phone
(330) 638-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1369 OH Primary

Addresses

Primary practice location

151 S High St
Cortland, OH 44410-1450

Mailing address

151 S High St
Cortland, OH 44410-1450
Phone (330) 638-6121

Other identifiers 1

IdentifierTypeStateIssuer
2882500MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1609934611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S HIGH ST",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101450",
            "telephone_number": "330-638-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S HIGH ST",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101450",
            "telephone_number": "330-638-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLAND FAMILY MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-638-6121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2882500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.