MEDICARE: THE CHILDRENS CHARITY OF GREATER BINGHAMTON 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1427916220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CHILDRENS CHARITY OF GREATER BINGHAMTON INC

Provider Business Mailing Address
First Line	:	7700 FULTON ST STE 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-3623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 FULTON ST STE 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-3623
Country	:	US
Telephone Number	:	713-766-2796
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JAMES BAILEY
Credential	:
Telephone Number	:	713-766-2796

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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