Organization
CLAXTON-HEPBURN MEDICAL CENTER
Active
Other names
Practice Resources LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROB BLOOM (CFO)
(315) 405-1535
Entity
Organization
Contact information
Practice address
214 KING ST STE B, OGDENSBURG, NY 13669-1142
(315) 393-3600
(315) 393-7250
Mailing address
214 KING ST STE B, OGDENSBURG, NY 13669-1142
(315) 393-3600
(315) 393-7250
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997831
—
NY
Enumeration date
05/03/2006
Last updated
09/02/2025
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