Cortland Community Reentry Program, Inc

LBN: Cortland Community Reentry Program, Inc
Cortland Community Reentry Program, Inc is an health care organization with primary practice located at 149 Main St , Cortland NY 13045-2926. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Cortland Community Reentry Program, Inc can be contacted via phone (607) 753-8241, or through Austin, Robert S. via phone (607) 753-8241.

Contact Information

Primary practice address
149 Main St Cortland NY 13045-2926
Phone: (607) 753-8241
Fax: (607) 753-0768
Website:
Map and Directions
Authorized official contact:
Name: Austin, Robert S.
Phone: (607) 753-8241

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1265578298
LBN Legal business name Cortland Community Reentry Program, Inc
DBA Doing business as
Authorized official Austin, Robert S.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1265578298 NPPES
New York MEDICAID 01715044

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