Organization
COMMUNITY MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARR BOVA (EXECUTIVE DIRECTOR, BUSINESS)
(315) 824-6560
Entity
Organization
Contact information
Practice address
3045 JOHN TRUSH JR BLVD STE 1, CAZENOVIA, NY 13035-9557
(315) 815-1430
(315) 655-1113
Mailing address
150 BROAD ST, HAMILTON, NY 13346-9575
(315) 824-7088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
12/10/2020
Last updated
11/02/2023
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