Organization
QC-MEDI NEW YORK, INC.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(518) 899-1158
Entity
Organization
Contact information
Practice address
320 USHERS RD, BALLSTON LAKE, NY 12019-1515
(518) 899-1158
(518) 899-7008
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000051300170
G2
—
01
—
00013277202
G2
—
01
—
000161506
G2
—
01
—
00051303001
G2
—
05
—
01573711
—
NY
01
—
020014
G2
—
01
—
10002879
G2
—
01
—
112256479
G2
—
01
—
116529
G2
—
01
—
1166983
G2
—
01
—
120243
G2
—
01
—
18618
G2
—
01
—
335394
G2
—
01
—
337224
G2
—
01
—
337401
G2
—
01
—
34511
G2
—
01
—
502111
G2
—
01
—
7215344
G2
—
01
—
801438
G2
—
Enumeration date
07/06/2006
Last updated
09/02/2022
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