# ELMIRA COLLEGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarke Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063040095
- **Authorized official:** WENDY FISCUS NP (DIRECTOR OF HEALTH SERVICES)
- **Authorized official phone:** (607) 735-1750

## Contact information

- **Practice address:** 1 PARK PL, ELMIRA, NY 14901-2085
- **Practice address phone:** (607) 735-1750
- **Practice address fax:** (607) 735-1198
- **Mailing address:** 1 PARK PL, ELMIRA, NY 14901-2085
- **Mailing address phone:** (607) 735-1750
- **Mailing address fax:** (607) 735-1198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2020
- **Last updated:** 04/14/2020