Provider Demographics
NPI:1972123735
Name:MVHS INC
Entity Type:Organization
Organization Name:MVHS INC
Other - Org Name:MOHAWK VALLEY HEALTH SYSTEM INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP REVENUE CYCLE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-801-4429
Mailing Address - Street 1:2215 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-5930
Mailing Address - Country:US
Mailing Address - Phone:315-801-4238
Mailing Address - Fax:315-801-8391
Practice Address - Street 1:1676 SUNSET AVE FL 4
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-5416
Practice Address - Country:US
Practice Address - Phone:315-624-5621
Practice Address - Fax:315-624-5625
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MVHS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-22
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty