Provider Demographics
NPI:1467902171
Name:HUTCHIGS PSYCHATRIC CENTER
Entity Type:Organization
Organization Name:HUTCHIGS PSYCHATRIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD RECREATION THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-426-6871
Mailing Address - Street 1:350 EARL AVE
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-1916
Mailing Address - Country:US
Mailing Address - Phone:315-426-6871
Mailing Address - Fax:
Practice Address - Street 1:620 MADISON ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2319
Practice Address - Country:US
Practice Address - Phone:315-426-6871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital