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NPI Code Detail

MEDICARE: COMMUNITY MEMORIAL HOSPITAL

MEDICARE: COMMUNITY MEMORIAL 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
1133V00000XRegistered Dietitian
2207L00000XAnesthesiology Physician
3207RC0000XCardiovascular Disease Physician
4207RP1001XPulmonary Disease Physician
5207T00000XNeurological Surgery Physician
6207X00000XOrthopaedic Surgery Physician
7208000000XPediatrics Physician
8208600000XSurgery Physician
9208M00000XHospitalist Physician
10207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1932100393
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 150 BROAD ST
Second Line :
City : HAMILTON
State : NY
Zip : 13346-9575
Country : US
Telephone Number : 315-824-6082
Fax Number : 315-824-3182
Provider Business Practice Location Address
First Line : 150 BROAD ST
Second Line :
City : HAMILTON
State : NY
Zip : 13346-9575
Country : US
Telephone Number : 315-824-7099
Fax Number : 315-824-6537
Authorized Official
Title or Position : CEO
Name : JEFFREY COAKLEY
Credential :
Telephone Number : 315-824-7099
Provider Enumeration Date : 08/09/2005
Last Update Date : 09/18/2024

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1912908005 — ROBERT W DELORME MD
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1184626897 — COMMUNITY MEMORIAL HOSPITAL, INC
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1992707608 — COMMUNITY MEMORIAL HOSPITAL
Practice Location Address:
150 BROAD ST
HAMILTON, NY
13346-9575
Practice Phone: 315-824-6082
Practice Fax: 315-824-3182

Directions to “COMMUNITY MEMORIAL HOSPITAL ” Practice Location

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