Organization
CROTCHED MOUNTAIN COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SHUMWAY (PRESIDENT & CEO)
(603) 547-3311
Entity
Organization
Contact information
Practice address
1873 WESTERN AVE, ALBANY, NY 12203-5028
(518) 452-1214
(518) 452-3546
Mailing address
1 VERNEY DR, CROTCHED MOUNTAIN FOUNDATION, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-3232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01739380
—
NY
Enumeration date
01/17/2007
Last updated
07/21/2022
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