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Organization
ST. JAMES HOSPITAL
Active
Organization
ST. JAMES HOSPITAL
Active
Other names
Southern Tier Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MITCHELL (PHYSICIAN STAFF COORDINATOR)
(607) 324-8294
Entity
Organization
Contact information
Practice address
7329 SENECA ROAD NORTH, HORNELL, NY 14843
(607) 385-3960
(607) 385-3195
Mailing address
411 CANISTEO ST, 3RD FLOOR LINCOLN SCHOOL, HORNELL, NY 14843-2104
(607) 324-8294
(607) 324-8766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075639
GHI GROUP #
NY
05
—
01198498
—
NY
01
—
=========
TRICARE GROUP #
NY
Enumeration date
12/19/2006
Last updated
05/07/2020
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