Clinton County Nursing Home

LBN: Clinton County
Clinton County Nursing Home is an health care organization with primary practice located at 16 Flynn Avenue , Plattsburgh NY 12901-3797. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Clinton County can be contacted via phone (518) 563-0950, or through Pedulla, Martha C via phone (518) 563-0950.

Contact Information

Primary practice address
16 Flynn Avenue Plattsburgh NY 12901-3797
Phone: (518) 563-0950
Fax: (518) 563-1060
Website:
Map and Directions
Authorized official contact:
Name: Pedulla, Martha C
Phone: (518) 563-0950

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0952300N New York

Profile Details

NPI number 1992854103
LBN Legal business name Clinton County
DBA Doing business as Clinton County Nursing Home
Authorized official Pedulla, Martha C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Jan 24th, 2012 - about 14 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 1992854103 NPPES
New York MEDICAID 00583624

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