Jamesville Dewitt Csd

LBN: Jamesville Dewitt Csd
Jamesville Dewitt Csd is an health care organization with primary practice located at 6845 Edinger Dr , Fayetteville NY 13066-1768. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Jamesville Dewitt Csd can be contacted via phone (315) 445-8300, or through Kendrick, Alice via phone (315) 445-8304.

Contact Information

Primary practice address
6845 Edinger Dr Fayetteville NY 13066-1768
Phone: (315) 445-8300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kendrick, Alice DR.
Phone: (315) 445-8304

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1063564656
LBN Legal business name Jamesville Dewitt Csd
DBA Doing business as
Authorized official Kendrick, Alice DR.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 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 1063564656 NPPES
New York MEDICAID 01646079

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