Organization
CLAXTON HEPBURN MEDICAL CENTER
Active
Parent organization
CLAXTON HEPBURN MEDICAL CENTER
Other names
Claxton Hepburn Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAXTON HEPBURN MEDICAL CENTER
Authorized official
ROB BLOOM (CFO)
(315) 713-5202
Entity
Organization
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5354
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5354
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8231001A
NYS OFFICE OF MENTAL HEALTH ARTICLE 31 LICENSURE
NY
Enumeration date
02/02/2021
Last updated
07/08/2021
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