M. L. Bose Memorial Health Foundation, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

M. L. BOSE MEMORIAL HEALTH FOUNDATION, INC.

Practice address

327 Dickerson Dr N
Camillus, NY 13031-1703

Phone

(520) 878-3600

NPI assigned

Apr 7, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ashoke Bose, MHA

Title

Founder/Ceo

Phone

(520) 878-3600

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1669167490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 DICKERSON DR N",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311703",
            "telephone_number": "520-878-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DICKERSON DR N",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311703",
            "telephone_number": "520-878-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. L. BOSE MEMORIAL HEALTH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "BOSE",
        "authorized_official_first_name": "ASHOKE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "520-878-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lobdell
• Lorraine Southworth Dba New Beginnings Health Care
• Kara Marie Lux, SLP
• Gavin Patric Lynch, DDS
• M. Joseph Monti, Inc.
• M. Robert Neulander, M.D.
• Rita E Macdonald, RPA-C
• Stacy Lynn Macdonald, PT
• Michael Machen, PHARMD
• Chloe Mack

• Public Health or Welfare Agency in Camillus, NY
• Providers in Camillus, NY by specialty
• Public Health or Welfare Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.