Provider Demographics
NPI:1205834272
Name:CMH SERVICES, INC
Entity type:Organization
Organization Name:CMH SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUKENES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-756-3880
Mailing Address - Street 1:160 HOMER AVE
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-1255
Mailing Address - Country:US
Mailing Address - Phone:607-756-3880
Mailing Address - Fax:607-756-3887
Practice Address - Street 1:160 HOMER AVE
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-1255
Practice Address - Country:US
Practice Address - Phone:607-756-3880
Practice Address - Fax:607-756-3887
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CMH GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-13
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01588509Medicaid
NY1040150001Medicare NSC