# CHEMUNG COUNTY HEALTH CTR.-NURSING FACILITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588686281
- **Authorized official:** MR. ROBERT E PAGE (ADMINISTRATOR)
- **Authorized official phone:** (607) 737-2068

## Contact information

- **Practice address:** 103 WASHINGTON ST, ELMIRA, NY 14901-3220
- **Practice address phone:** (607) 737-2068
- **Practice address fax:** (607) 734-3021
- **Mailing address:** 103 WASHINGTON ST, ELMIRA, NY 14901-3220
- **Mailing address phone:** (607) 737-2068
- **Mailing address fax:** (607) 734-3021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 014460 | NY | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01776118 | — | NY |
| 01 | — | 3321724 | NCPDP | — |