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

Community Memorial Hospital, Inc

Organization Family Medicine Physician · NPI 1679179006

Community Memorial Hospital, Inc is a Family Medicine Physician in Cazenovia, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3045 John Trush Jr Blvd Ste 1
Cazenovia, NY 13035-9557
Phone: (315) 815-1430
Fax: (315) 655-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1679179006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carr Bova — Executive Director, Business · (315) 824-6560
NPI enumeratedDecember 10, 2020
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing address150 Broad St, Hamilton, NY 13346-9575

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