Nysarc, Inc. Broome-Tioga County Chapter

LBN: Nysarc, Inc. Broome-Tioga County Chapter
Nysarc, Inc. Broome-Tioga County Chapter is an health care organization with primary practice located at 125 Cutler Pond Rd , Binghamton NY 13905-1564. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Nysarc, Inc. Broome-Tioga County Chapter can be contacted via phone (607) 723-8361, or through Thorn, Mary Jo via phone (607) 723-8361.

Contact Information

Primary practice address
125 Cutler Pond Rd Binghamton NY 13905-1564
Phone: (607) 723-8361
Fax: (607) 231-5310
Website:
Map and Directions
Authorized official contact:
Name: Thorn, Mary Jo
Phone: (607) 723-8361

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066441 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066443 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066440 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066454 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066442 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066450 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066461 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066462 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066120 New York
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 6066444 New York

Profile Details

NPI number 1962491852
LBN Legal business name Nysarc, Inc. Broome-Tioga County Chapter
DBA Doing business as
Authorized official Thorn, Mary Jo
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
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 1962491852 NPPES
New York MEDICAID 02246082

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