Chemung County Early Intervention Program

LBN: Chemung County Early Intervention Program
Chemung County Early Intervention Program is an health care organization with primary practice located at 425 Pennsylvania Ave , Elmira NY 14904-1762. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Early Intervention Provider Agency. Agencies / Case Management is the primary health care specialty. Chemung County Early Intervention Program can be contacted via phone (607) 737-5569, or through Jernigan, Anne L via phone (607) 737-5568.

Contact Information

Primary practice address
425 Pennsylvania Ave Elmira NY 14904-1762
Phone: (607) 737-5569
Fax: (607) 737-5480
Website:
Map and Directions
Authorized official contact:
Name: Jernigan, Anne L M.S. CCC-SLP
Phone: (607) 737-5568

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1457571515
LBN Legal business name Chemung County Early Intervention Program
DBA Doing business as
Authorized official Jernigan, Anne L M.S. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2007
Last updated Jul 30th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457571515 NPPES
New York MEDICAID 01760530

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