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HEUVELTON HEALTH CENTER
NPI 1104402239
Clinic/Center - Rural Health in Heuvelton, NY

Active since March 19, 2021CLIA Certified · 2 labs
103 RENSSELAER ST, HEUVELTON, NY 13654(315) 344-6621(315) 713-6510 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Mar 19, 2021 (2 updates tracked since 2021).

About Heuvelton Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEUVELTON HEALTH CENTER (NPI 1104402239) is a healthcare organization registered as a rural health in Heuvelton, New York and active in the NPI registry since March 2021. The organization holds 2 active CLIA laboratory certificates and lists Rob Bloom, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104402239
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLAXTON HEPBURN MEDICAL CENTER
Location Address103 RENSSELAER STHeuvelton, NY 13654-3137
Mailing Address214 King StOgdensburg, NY 13669-1142 · (315) 713-5354
Phone(315) 344-6621
Fax(315) 713-6510
Organization SubpartYes
Authorized OfficialRob BloomCfo · (315) 713-5202
Enumeration DateMarch 19, 2021
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1104402239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
103 RENSSELAER ST, Heuvelton, NY 13654
Open in Google Maps ↗

Other Names 1

Doing Business AsHeuvelton Health Center

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2086508

Heuvelton Health Center · Heuvelton, NY
Active · expires Mar 26, 2027
CLIA Number33D2086508
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 5, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael S. Seidman
Laboratory Phone(315) 344-6621
Laboratory LocationHeuvelton Health Center103 Rensselaer Street, Heuvelton, NY 13654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 33D0167743

Claxton-Hepburn Medical Campus · Ogdensburg, NY
Active · expires Mar 26, 2027
CLIA Number33D0167743
Laboratory TypeHospital
Certificate Effective DateAugust 28, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Yesha Sheth
Laboratory Phone(315) 713-5025
Laboratory LocationClaxton-Hepburn Medical Campus214 King St, Ogdensburg, NY 13669
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARTHAGE AREA HOSPITAL INC
Clinic/Center
103 RENSSELAER ST
HEUVELTON, NY 13654
St. Lawrence County (315) 344-6621
JESSICALEE P HOLLIS FNP-C
Nurse Practitioner (Family)
103 RENSSELAER ST
HEUVELTON, NY 13654
St. Lawrence County (315) 344-6621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claxton Hepburn Medical Center's NPI number?

The NPI number for Claxton Hepburn Medical Center is 1104402239. It was assigned to this organization in the NPPES registry on March 19, 2021. The provider is doing business as Heuvelton Health Center.

Where is Claxton Hepburn Medical Center located?

Claxton Hepburn Medical Center is located at 103 Rensselaer St, Heuvelton, NY 13654. The listed phone number is (315) 344-6621.

What is Claxton Hepburn Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Claxton Hepburn Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Claxton Hepburn Medical Center was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.