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General NPI Number Information
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NPI Number | 1407839822
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Entity Type | Organization
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Legal Business Name | CUBA MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 140 WEST MAIN STREET
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City | CUBA
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State | NY
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Zip | 14727-1317
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Country | US
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Telephone | 716-375-6490
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Fax |
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Provider Business Mailing Address
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Address Line | 140 WEST MAIN STREET
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City | CUBA
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State | NY
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Zip | 14727-1317
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Country | US
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Telephone | 716-375-6490
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NORMA KERLING
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Credential |
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Telephone | 585-968-6751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 0226700C
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License Number State | NY
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