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
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4111
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0824000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330033
MEDICARE PTAN
NY
Enumeration date
08/09/2006
Last updated
09/17/2021
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