Organization
COMMUNITY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY COAKLEY (CEO AND PRESIDENT)
(315) 806-0909
Entity
Organization
Contact information
Practice address
150 BROAD ST, HAMILTON, NY 13346-9575
(315) 824-6082
(315) 824-3182
Mailing address
150 BROAD ST, HAMILTON, NY 13346-9575
(315) 824-6082
(315) 824-3182
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
2625000H
NY
282NC0060X
Critical Access Hospital
Primary
2625700C
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354229
—
NY
Enumeration date
08/12/2005
Last updated
02/17/2025
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