Cah Sunmount Ddso

LBN: State Of New York
Cah Sunmount Ddso is an health care organization with primary practice located at 2445 State Route 30 , Tupper Lake NY 12986-2502. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. State Of New York can be contacted via phone (518) 457-9835, or through Jefferson, Earl via phone (518) 402-4333.

Contact Information

Primary practice address
2445 State Route 30 Tupper Lake NY 12986-2502
Phone: (518) 457-9835
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jefferson, Earl
Phone: (518) 402-4333

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X CAH00018 New York

Profile Details

NPI number 1083899702
LBN Legal business name State Of New York
DBA Doing business as Cah Sunmount Ddso
Authorized official Jefferson, Earl
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 31st, 2007
Last updated Jul 21st, 2015 - about 9 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 1083899702 NPPES
New York MEDICAID 01361182

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