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Organization
CAYUGA MEDICAL CENTER AT ITHACA
Active
Organization
CAYUGA MEDICAL CENTER AT ITHACA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GOULD (CFO)
(607) 274-4011
Entity
Organization
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
(607) 274-4527
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5401001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011438301
UNIVERA PROVIDER NO
NY
05
—
00332729
—
NY
01
—
284215
HEALTHLINK
NY
01
—
365593
MVP PROVIDER NO
NY
01
—
5401001H
NYS PROVIDER/OPER CERT #
NY
01
—
7051
TOTAL CARE CLINIC
NY
01
—
7300101
OPTIMUM CHOICE
NY
01
—
7516
TOTAL CARE EMERGENCY
NY
01
—
900266
HARVARD PILGRIM HOSP ED
NY
01
—
908422
HARVARD PILGRIM URG CARE
NY
01
—
925405
CONNECTICARE
NY
01
—
N49651
HEALTHNET CLIN LAB
NY
01
—
NY0101
JOHN DEERE
NY
01
—
NY7693
HEALTHNET HOSP URG CARE
NY
Enumeration date
07/21/2006
Last updated
04/16/2025
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