Economic Opportunity Program, Inc. of Chemung and Schuyler Counties

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ECONOMIC OPPORTUNITY PROGRAM, INC. OF CHEMUNG AND SCHUYLER COUNTIES

Practice address

650 Baldwin St
Elmira, NY 14901-2216

Phone

(607) 734-6227

Fax

(607) 734-0315

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Ogunwumi

Title

Executive Director

Phone

(607) 734-6227

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Economic Opportunity Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Economic Opportunity Program

  • Case Manager/Care Coordinator
  • Elmira, NY
  • NPI 1023229473
  NPD tax ID
• Economic Opportunity Program

  • Addiction (Substance Use Disorder) Counselor
  • Elmira, NY
  • NPI 1770793341
  NPD tax ID

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619971256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 BALDWIN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012216",
            "telephone_number": "607-734-6227",
            "fax_number": "607-734-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BALDWIN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012216",
            "telephone_number": "607-734-6227",
            "fax_number": "607-734-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMIC OPPORTUNITY PROGRAM, INC. OF CHEMUNG AND SCHUYLER COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGUNWUMI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-734-6227",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00689661",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Eberhardt
• Eckerd Corporation
• Eckerd Corporation
• Economic Opportunity Program
• Economic Opportunity Program
• Ann Margaret Edgerly
• Mark T Edgerly, R.PH.
• Edward H Clarke MD
• Makena Edwards
• Tyler H Edwards, PT, DPT, CSCS

• Substance Use Disorder Rehabilitation Clinic/Center in Elmira, NY
• Providers in Elmira, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• 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.

Verify at the official NPI Registry.