Tully Hill

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

TULLY HILL

Practice address

5821 Route 80
Tully, NY 13159-1116

Phone

(315) 696-6114

Fax

(315) 696-8509

NPI assigned

Jan 2, 2007

Last updated

Apr 22, 2014By 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

Mrs. Stephanie L Vormwald, CPA

Title

Controller

Phone

(315) 696-6114

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Nicholas Pirro, NP

  • Family Nurse Practitioner
  • Tully, NY
  • NPI 1366602070
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1629135512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1116",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131591116",
            "telephone_number": "315-696-6114",
            "fax_number": "315-696-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 ROUTE 80",
            "city": "TULLY",
            "state": "NY",
            "postal_code": "131591116",
            "telephone_number": "315-696-6114",
            "fax_number": "315-696-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLY HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "VORMWALD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "315-696-6114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01805967",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Stewart, RN
• Susan S Thomas, LCSW
• Town of Tully
• Tully Central School District
• Tully Dental Office,LLP
• Amanda Mae Walters

• Substance Abuse Rehabilitation Facility in Tully, NY
• Providers in Tully, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.