Healthcare Provider Details

I. General information

NPI: 1255295390
Provider Name (Legal Business Name): CARTHAGE AREA HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 MECHANIC STREET
COPENHAGEN NY
13626
US

IV. Provider business mailing address

1001 WEST ST
CARTHAGE NY
13619-9703
US

V. Phone/Fax

Practice location:
  • Phone: 315-493-9514
  • Fax: 315-519-5698
Mailing address:
  • Phone: 315-493-1000
  • Fax: 315-493-0038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD DUVALL
Title or Position: CEO
Credential:
Phone: 315-519-5207