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NPI Code Detail

MEDICARE: INDEPENDENT HEALTH CARE SERVICES,INC.

MEDICARE: INDEPENDENT HEALTH CARE SERVICES,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
1251E00000XHome Health Agency9785L001NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447244660
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDEPENDENT HEALTH CARE SERVICES,INC.
Provider Business Mailing Address
First Line : 1050 W GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2215
Country : US
Telephone Number : 315-424-3744
Fax Number :
Provider Business Practice Location Address
First Line : 1050 W GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2215
Country : US
Telephone Number : 315-424-3744
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MS. INDI SHELBY
Credential :
Telephone Number : 315-477-9308
Provider Enumeration Date : 09/02/2005
Last Update Date : 08/22/2020

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Directions to “INDEPENDENT HEALTH CARE SERVICES,INC. ” Practice Location

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