Provider Demographics
NPI:1275652612
Name:CORNING HOSPITAL
Entity Type:Organization
Organization Name:CORNING HOSPITAL
Other - Org Name:CORNING HOSPITAL ER GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:VP, CHIELF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MACAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-887-5985
Mailing Address - Street 1:1 GUTHRIE DR
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2899
Mailing Address - Country:US
Mailing Address - Phone:607-937-7200
Mailing Address - Fax:
Practice Address - Street 1:1 GUTHRIE DR
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-3696
Practice Address - Country:US
Practice Address - Phone:607-937-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCK1070Medicare ID - Type UnspecifiedRR MEDICARE GROUP NUMBER
NY70079AMedicare ID - Type UnspecifiedGROUP NUMBER