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Organization

CHENANGO MEMORIAL HOSPITAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DRAKE LAMEN M.D. (PRESIDENT & CEO)
(607) 337-4113
Entity
Organization

Contact information

Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4111
(607) 337-4293
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4111
(607) 337-4293

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
122300000X
Dentist
207K00000X
Allergy & Immunology Physician
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
2085B0100X
Body Imaging Physician
208600000X
Surgery Physician
208800000X
Urology Physician
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0824000H
OPER CERT#
01
330033
MEDICARE ID
NY
Enumeration date
11/17/2006
Last updated
01/05/2022
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