Community Memorial Hospital, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMUNITY MEMORIAL HOSPITAL, INC

Practice address

5180 S Main St
Munnsville, NY 13409-4058

Phone

(315) 495-2690

Fax

(315) 495-3915

NPI assigned

Dec 10, 2020

Organization subpart

No

Name

Carrie Bova

Title

Executive Director, Business

Phone

(315) 824-6560

Tax ID family

Community Memorial Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Community Memorial Hospital

  • Anesthesiology Physician
  • Hamilton, NY
  • NPI 1124700695
  NPD tax ID
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Hamilton, NY
  • NPI 1609303692
  NPD tax ID
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Morrisville, NY
  • NPI 1902333149
  NPD tax ID
• Community Memorial Hospital, Inc

  • Family Medicine Physician
  • Cazenovia, NY
  • NPI 1679179006
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2023.

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1699371013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133469575",
            "telephone_number": "315-824-7088",
            "fax_number": "315-648-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 S MAIN ST",
            "city": "MUNNSVILLE",
            "state": "NY",
            "postal_code": "134094058",
            "telephone_number": "315-495-2690",
            "fax_number": "315-495-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "BOVA",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, BUSINESS",
        "authorized_official_telephone_number": "315-824-6560"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie R Angell, R, PA-C
• Haley Bugbee
• Catherine Elizabeth Delorme, PT
• Traci Jackson, LPN
• Laura Hall Kent
• Carol M Krehel, DPT
• Gabriella Taylor Russ

• All providers in Munnsville, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.