NPIMap

Organization Active NPI

Groton Community Health Care Center Inc

  • Case Management Agency
  • Groton, NY
National Provider Identifier
1821042847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
80240591 Issued in NY
Legal business name
GROTON COMMUNITY HEALTH CARE CENTER INC
Practice address
120 Sykes Street
Groton, NY 13073
Phone
(607) 898-5876
Fax
(607) 898-3034
NPI assigned
May 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffery Earle
Title
President Ceo
Phone
(607) 898-5876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 80240591 NY Primary

Addresses

Primary practice location

120 Sykes Street
Groton, NY 13073

Mailing address

120 Sykes Street
Groton, NY 13073
Phone (607) 898-5876

Other identifiers 1

IdentifierTypeStateIssuer
01999059MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Groton Community Health Care Center Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821042847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SYKES STREET",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "13073",
            "telephone_number": "607-898-5876",
            "fax_number": "607-898-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SYKES STREET",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "13073",
            "telephone_number": "607-898-5876",
            "fax_number": "607-898-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTON COMMUNITY HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "607-898-5876"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "80240591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01999059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, NY

Sources for this page

  • 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.