Organization
COMMUNITY MEMORIAL HOSPITAL, INC
Active
Parent organization
COMMUNITY MEMORIAL HOSPITAL, INC
Other names
Community Memorial Hospital - Skilled Nursing Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEMORIAL HOSPITAL, INC
Authorized official
SEAN FADALE (CEO)
(315) 824-6082
Entity
Organization
Contact information
Practice address
150 BROAD ST, HAMILTON, NY 13346-9575
(315) 824-6082
(315) 824-3182
Mailing address
150 BROAD ST, HAMILTON, NY 13346-9575
(315) 824-6082
(315) 824-3182
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2625000N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474328
—
NY
Enumeration date
08/12/2005
Last updated
08/02/2012
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