Organization
CHENANGO MEMORIAL HOSPITAL INC
Active
Organization
CHENANGO MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DRAKE LAMEN MD (PRESIDENT/CEO)
(607) 337-4113
Entity
Organization
Contact information
Practice address
4 NEWTON AVE, NORWICH, NY 13815-1153
(607) 337-4950
(607) 337-4280
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4111
(607) 337-4280
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0824000H
OPER CERT#
NY
01
—
330033
MEDICARE PTAN
NY
Enumeration date
12/14/2021
Last updated
08/31/2023
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