MEDICARE: J. M. MURRAY CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1154772952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J. M. MURRAY CENTER, INC.

Provider Business Mailing Address
First Line	:	823 NYS RTE 13
Second Line	:
City	:	CORTLAND
State	:	NY
Zip	:	13045-8729
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4059 WEST RD
Second Line	:
City	:	CORTLAND
State	:	NY
Zip	:	13045-1637
Country	:	US
Telephone Number	:	607-756-0246
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FLOYD MOON
Credential	:
Telephone Number	:	607-756-9913

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	06/23/2016

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