1033117635 NPI number — GUTHRIE CORTLAND MEDICAL CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033117635 NPI number — GUTHRIE CORTLAND MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GUTHRIE CORTLAND MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033117635
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2060
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORTLAND
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13045-0946
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-756-3554
Provider Business Mailing Address Fax Number:
607-756-3545

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
134 HOMER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORTLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13045-1206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-756-3554
Provider Business Practice Location Address Fax Number:
607-756-3545
Provider Enumeration Date:
07/08/2005

Additional Information

Authorized Official

Authorized Official Last Name:
WRINN
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT OF FINANCE/CFO
Authorized Official Telephone Number:
607-756-3526

Provider Taxonomy Codes

  • Taxonomy code: 273R00000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00279176 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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