Organization · Type 2 NPI

Claxton Hepburn Medical Center

Rural Health Clinic/Center · Heuvelton, NY

NPI number 1104402239 Active

Practice location

103 Rensselaer St
Heuvelton, NY 13654-3137

Call (315) 344-6621 Map

Fax (315) 713-6510

Mailing address

214 King St
Ogdensburg, NY 13669-1142

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1104402239
Entity type: Organization (Type 2)
Issued: Mar 19, 2021
Last updated: Jul 8, 2021
Status: Active
Subpart: Yes of Claxton Hepburn Medical Center

Other names

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Heuvelton Health Center · doing business as
Heuvelton Health Center · doing business as

Authorized official

Rob Bloom
CFO
(315) 713-5202

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104402239

Claxton Hepburn Medical Center's National Provider Identifier is 1104402239, issued on Mar 19, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Heuvelton, NY. The record was last updated on Jul 8, 2021.