Southern Tier Independence Center, Inc.
LBN: Southern Tier Independence Center, Inc.
Southern Tier Independence Center, Inc. is an health care organization with primary practice located at 135 E Frederick St , Binghamton NY 13904-1224. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / Supports Brokerage. Agencies / Community/Behavioral Health is the primary health care specialty.
Southern Tier Independence Center, Inc. can be contacted via phone (607) 724-2111, or through Watson, Jennifer via phone (607) 724-2111.
Contact Information
Primary practice address
135 E Frederick St
Binghamton NY 13904-1224
Phone: (607) 724-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Home Health | 251E00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Supports Brokerage | 251X00000X |
Profile Details
| NPI number | 1285840074 |
|---|---|
| LBN Legal business name | Southern Tier Independence Center, Inc. |
| DBA Doing business as | |
| Authorized official | Watson, Jennifer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Jul 12th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285840074 | NPPES |
| New York | MEDICAID | 02516310 | |
| New York | MEDICAID | 02003001 | |
| New York | MEDICAID | 01543122 | |
| New York | MEDICAID | 02693649 | |
| New York | MEDICAID | 01741166 | |
| New York | MEDICAID | 02168761 | |
| New York | MEDICAID | 02625478 | |
| New York | MEDICAID | 01489734 |
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