Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Memorial Hospital

Organization Family Medicine Physician · NPI 1477080604

Community Memorial Hospital is a Family Medicine Physician in Waterville, New York. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
5

Practice location Address checks out

117 W Main St
Waterville, NY 13480-1165
Phone: (315) 841-4184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Adult Medicine Physician Taxonomy 207QA0505X
Internal Medicine Physician Taxonomy 207R00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1477080604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Frank — Cfo · (315) 824-6550
NPI enumeratedMay 18, 2017
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address150 Broad St, Hamilton, NY 13346-9575

Other providers in Waterville