Organization
LEWIS COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE PRINCE (COO)
(315) 376-5226
Entity
Organization
Contact information
Practice address
9559 MAIN STREET, BEAVER FALLS, NY 13305
(315) 346-6824
(315) 346-6868
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 701-5610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02848213
—
NY
Enumeration date
11/15/2006
Last updated
09/20/2019
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