Organization
UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY, INC.
Active
Organization
UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY, INC.
Active
Other names
Community Health Center of the North Country
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BRYDEN (CHIEF FINANCIAL OFFICER)
(315) 379-8320
Entity
Organization
Contact information
Practice address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-1156
(315) 379-9388
Mailing address
4 COMMERCE LN, CANTON, NY 13617-3739
(315) 386-1156
(315) 379-9388
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995615
—
NY
Enumeration date
01/20/2006
Last updated
01/22/2025
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