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Organization

CARTHAGE AREA HOSPITAL, INC.

Active
Parent organization
CARTHAGE AREA HOSPITAL, INC.
Other names
Lafargeville School Based Health Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARTHAGE AREA HOSPITAL, INC.
Authorized official
MR. RICHARD DUVALL (ADMINISTRATOR)
(315) 519-5201
Entity
Organization

Contact information

Practice address
20414 SUNSET AVENUE, LAFARGEVILLE, NY 13656-2222
(315) 493-1000
(315) 493-0105
Mailing address
20414 SUNSET AVENUE, LAFARGEVILLE, NY 13656-2222
(315) 493-1000
(315) 493-0105

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
261QS1000X
Student Health Clinic/Center
2238001H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05797833
NY
01
333987
MEDICARE PTAN
Enumeration date
02/05/2010
Last updated
05/05/2021
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