Ithaca College Student Health Services

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

ITHACA COLLEGE STUDENT HEALTH SERVICES

Doing business as

Hammond Health Center

Practice address

953 Danby Rd
Hammond Health, Ithaca College
Ithaca, NY 14850-7000

Phone

(607) 274-3177

Fax

(607) 274-1844

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Karen Eldredge

Title

MGR. Health Center Operations

Phone

(607) 274-3205

Specialties & licenses 1

Addresses

Other names 1

• Hammond Health Center Doing business as

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992855225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 DANBY RD",
            "address_2": "HAMMOND HEALTH, ITHACA COLLEGE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148507000",
            "telephone_number": "607-274-3177",
            "fax_number": "607-274-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 DANBY RD",
            "address_2": "HAMMOND HEALTH, ITHACA COLLEGE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148507000",
            "telephone_number": "607-274-3177",
            "fax_number": "607-274-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHACA COLLEGE STUDENT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELDREDGE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "MGR. HEALTH CENTER OPERATIONS",
        "authorized_official_telephone_number": "607-274-3205"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammond Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Student Health Clinic/Center in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Student Health 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.