OrganizationActive
Community Memorial Hospital
NPI 1477080604 · Rural Health Clinic/Center · Waterville, NY
Provider details
- NPI number
- 1477080604
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Liebel, Vp Finance(315) 824-6550
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
117 W Main St
Waterville, NY 13480-1165
Phone: (315) 841-4184
Approximate (ZIP-level) locationGet directions
Mailing address
150 Broad St
Hamilton, NY 13346-9575
Registry dates
- Enumerated
- 2017-05-18
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.