CORTLAND COUNTY HEALTH DEPARTMENT ADULT IMMUNIZATION CLINIC (NPI# 1811064504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811064504 |
| Entity Type | Organization |
| Organization Name | CORTLAND COUNTY HEALTH DEPARTMENT ADULT IMMUNIZATION CLINIC |
| Practice Address |
60 Central Ave Cortland County Health Department Cortland NY 13045-2746 |
| Practice Telephone | 6077535135 |
| Practice Fax Number | 6077535209 |
| Mailing Telephone | 6077535135 |
| Mailing Fax Number | 6077535209 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-07-02 |
| Authorized Official Name | MRS. CATHERINE FEUERHERM (PUBLIC HEALTH DIRECTOR) |
| Authorized Official Telephone | 6077535135 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | Y |
| Parent Organization Name | CORTLAND COUNTY HEALTH DEPARTMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
60 CENTRAL AVE CORTLAND COUNTY HEALTH DEPARTMENT |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480891 | Cortland County | Home Health | 60 Central Ave, Cortland, NY 13045-2795 | 2005-07-12 |
| 1144786690 | Allyson Ra Freelove | Registered Nurse | 60 Central Ave, Cortland, NY 13045-2795 | 2019-02-20 |
| 1558876870 | Michaela Marie Eccleston | Case Manager/Care Coordinator | 60 Central Ave, Cortland, NY 13045-2795 | 2017-12-08 |
| 1275052680 | Laura Pforter | Specialist | 60 Central Ave, Cortland, NY 13045-2795 | 2017-09-18 |
| 1033516224 | Maria Derado | Developmental Therapist | 60 Central Ave, Cortland, NY 13045-2795 | 2014-12-03 |
| 1851793111 | Cortland County Area Agency On Aging | Public Health or Welfare | 60 Central Ave, Cortland, NY 13045-2795 | 2014-09-18 |
| 1669891404 | Cortland County Health Department | Public Health or Welfare | 60 Central Ave, Cortland, NY 13045-2795 | 2014-04-09 |
| 1164855961 | Vincenza Ann Wahlrab | Developmental Therapist | 60 Central Ave, Cortland, NY 13045-2795 | 2013-08-15 |
| 1811339328 | Terrie L Atwood | Case Manager/Care Coordinator | 60 Central Ave, Cortland, NY 13045-2795 | 2013-07-25 |
| 1235571845 | Amber Lawrence | Registered Nurse | 60 Central Ave, Cortland, NY 13045-2795 | 2013-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821165416 | Cortland County Health Department Nursing Clinics | Clinic/Center | 60 Central Ave, Cortland County Health Department, Cortland, NY 13045-2746 | 2006-11-29 |
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| 1386283695 | Queens Podiatry Pllc | Clinic/Center | 7001 Grand Ave, Maspeth, NY 11378-1820 | 2020-01-03 |
| 1184262255 | Health & Wellness Group Inc | Clinic/Center | 211 Broadway Ste 205, Lynbrook, NY 11563-3290 | 2019-12-19 |
| 1285278606 | Pure Eyecare Optometry P.C. | Clinic/Center | 10537 65th Ave Apt 4d, Forest Hills, NY 11375-1818 | 2019-10-29 |
| 1720629454 | International Travel Medicine, PC | Clinic/Center | 200 S Service Rd Ste 212, Roslyn Hts, NY 11577-2118 | 2019-10-03 |
| 1801446596 | Michael Bassiri-tehrani Md Pllc | Clinic/Center | 61 East 86th St., Practices At 86, New York, NY 10028 | 2019-09-16 |
| 1174178396 | Instant Care Np In Family Health | Clinic/Center | 89 Tennyson Dr, Nanuet, NY 10954-1039 | 2019-08-05 |
| 1811455801 | Five Borough Gastroenterology Medical Pllc | Clinic/Center | 340 W 86th St Apt 1a, New York, NY 10024-3274 | 2019-03-08 |
| 1598259996 | Ds Medical Diagnostics PC | Clinic/Center | 13249 41st Rd Ste 1c, Flushing, NY 11355-4286 | 2018-06-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.