Ithaca Outpatient Clinic

LBN: Ithaca Outpatient Clinic
Ithaca Outpatient Clinic is an health care organization with primary practice located at 10 Arrowood Dr , Ithaca NY 14850-1857. The organization recently has only one registered license in Ambulatory Health Care Facilities / VA, which is considered as the primary health care specialty. Ithaca Outpatient Clinic can be contacted via phone (315) 425-4400, or through Mayerick, Barbara via phone (202) 254-0339.

Contact Information

Primary practice address
10 Arrowood Dr Ithaca NY 14850-1857
Phone: (315) 425-4400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mayerick, Barbara
Phone: (202) 254-0339

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / VA 261QV0200X

Profile Details

NPI number 1952435729
LBN Legal business name Ithaca Outpatient Clinic
DBA Doing business as
Authorized official Mayerick, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 6 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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