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NPI Code Detail

MEDICARE: ST JAMES MERCY HEALTH

MEDICARE: ST JAMES MERCY HEALTH
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2273R00000XPsychiatric Hospital Unit5002001HNY
3261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1699742270
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST JAMES MERCY HEALTH
Provider Business Mailing Address
First Line : 411 CANISTEO ST
Second Line :
City : HORNELL
State : NY
Zip : 14843-2104
Country : US
Telephone Number : 607-324-8000
Fax Number : 607-324-8198
Provider Business Practice Location Address
First Line : 411 CANISTEO ST
Second Line :
City : HORNELL
State : NY
Zip : 14843-2104
Country : US
Telephone Number : 607-324-8000
Fax Number : 607-324-8198
Authorized Official
Title or Position : VP CHIEF FINANCIAL OFFICER
Name : MR. DAVID C CAPONE
Credential :
Telephone Number : 607-324-8113
Provider Enumeration Date : 03/02/2006
Last Update Date : 09/11/2025

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