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)
(607) 962-0102
Entity
Organization
Contact information
Practice address
11849 E CORNING RD, SUITE 108, CORNING, NY 14830-3695
(607) 962-0102
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
—
00011327202
G2
—
01
—
000161506
G2
—
01
—
000400510005
1B
—
01
—
013100P
G2
—
05
—
01447763
—
NY
01
—
098251
G2
—
01
—
112256479
G2
—
01
—
11225647902
G2
—
01
—
112645333
G2
—
01
—
112802024
G2
—
01
—
116529
G2
—
01
—
120243
G2
—
01
—
202035301
G2
—
01
—
335394
G2
—
01
—
337224
G2
—
01
—
337292
G2
—
01
—
520115
G2
—
01
—
7215344
G2
—
Enumeration date
07/06/2006
Last updated
09/02/2022
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