MEDICARE: CORNING HOSPITAL

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	207P00000X	Emergency Medicine Physician
2	282N00000X	General Acute Care Hospital	5001000H	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0007835	OTHER	NY	BLUE CROSS

General Provider Information

NPI Number	:	1346241973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNING HOSPITAL

Provider Business Mailing Address
First Line	:	1 GUTHRIE DRIVE
Second Line	:
City	:	CORNING
State	:	NY
Zip	:	14830-3696
Country	:	US
Telephone Number	:	607-937-7130
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 GUTHRIE DRIVE
Second Line	:
City	:	CORNING
State	:	NY
Zip	:	14830-3696
Country	:	US
Telephone Number	:	607-937-7130
Fax Number	:

Authorized Official
Title or Position	:	VP, CHIEF FINANCIAL OFFICER
Name	:	MR. FRANCIS MACAFEE
Credential	:
Telephone Number	:	607-798-6748

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	11/19/2024

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1912979576 — DR. JOHN OLMSTEAD M.D.
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1396719985 — DR. PETER H. PARKEN M.D.
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14830-3696

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Directions to “CORNING HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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