CLIFTON-FINE HEALTHCARE CORPORATION NPI 1235184649

NPI Information

NPI: 1235184649
Provider Name: CLIFTON-FINE HEALTHCARE CORPORATION

Doing Business As: CLIFTON FINE HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY
ZIP 13690
Phone: (315) 848-3351
Get Directions

CLIFTON-FINE HEALTHCARE CORPORATION is a critical access general acute care hospital in Star Lake, NY. CLIFTON-FINE HEALTHCARE CORPORATION NPI is 1235184649. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clifton Fine Hospital.

The provider's business location address is:

1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY
ZIP 13690-143
Phone: (315) 848-3351
Fax: (315) 848-2314

The provider's authorized official is Dierdra Sorrell .
The authorized official title is Ceo and has the following contact phone number (315) 848-4260.

The CLIA number assigned to this NPI record is 33D0693940 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		163749	NEW YORK	No
2	207P00000X	Emergency Medicine		160381	NEW YORK	No
3	207P00000X	Emergency Medicine		206562	NEW YORK	No
4	207Q00000X	Family Medicine		099273	NEW YORK	No
5	207Q00000X	Family Medicine		247006	NEW YORK	No
6	363LF0000X	Nurse Practitioner	Family	331877	NEW YORK	No
7	364SE0003X	Clinical Nurse Specialist	Emergency	004138	NEW YORK	No
8	282NC0060X	General Acute Care Hospital	Critical Access	4458700C	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00354201	MEDICAID	NEW YORK
2	330179	OTHER	NEW YORK	BLUE CROSS
3	02332016	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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