Organization
CARTHAGE AREA HOSPITAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DUVALL (CEO ADMINISTRATOR)
(315) 519-5201
Entity
Organization
Contact information
Practice address
3 BRIDGE ST, CARTHAGE, NY 13619-1333
(315) 493-3300
(315) 493-0105
Mailing address
1001 WEST ST, CARTHAGE, NY 13619-9703
(315) 519-5724
(315) 493-0105
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2238001H
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310852
—
NY
05
—
03000662
—
NY
01
—
7731001A
OPERATING CERTIFICATE
NY
Enumeration date
05/25/2007
Last updated
12/30/2021
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