Kph Healthcare Services, Inc.
Kph Healthcare Services, Inc. is a health care provider in Gouverneur, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 540 Genesee St., Chittenango, NY 13037, US |
|Practice Location Phone||315-687-6110|
|Practice Location Fax||315-687-1046|
|Legal Business Name||KPH HEALTHCARE SERVICES, INC.|
|Other Organization Name||KINNEY DRUGS #46|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Aug 24, 2006|
|Last Update Date ? ||May 29, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Kph Healthcare Services, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacy||Suppliers|| ||022822||New York|
|Pharmacy||Suppliers||Community/Retail Pharmacy |
Legacy Provider IDs of Kph Healthcare Services, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
|3311367||Other||OTHER ID NUMBER-COMMERCIAL NUMBER|
|0535600044||New York||Medicare Nsc|
Authorized Official of Kph Healthcare Services, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kph Healthcare Services, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Lisa L Weir|
|Authorized Official Title/Position||THIRD PARTY ADMINISTRATOR|
|Authorized Official Phone Number||315-287-3600|