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CANTON HEALTH CENTER
NPI 1124634175
Clinic/Center - Rural Health in Canton, NY

Active since September 16, 2020CLIA 33D1050470 · Waiver
39 W MAIN ST, CANTON, NY 13617(315) 379-4700 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2022, Feb 2, 2021, Sep 16, 2020 (3 updates tracked since 2020).

About Canton Health Center NPPES

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

CANTON HEALTH CENTER (NPI 1124634175) is a healthcare organization registered as a rural health in Canton, New York and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Richard Duvall, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124634175
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLAXTON-HEPBURN MEDICAL CENTER
Location Address39 W MAIN STCanton, NY 13617-1358
Mailing Address214 King StOgdensburg, NY 13669-1142 · (315) 393-3600
Phone(315) 379-4700
Organization SubpartNo
Authorized OfficialRichard DuvallCeo · (315) 713-5237
Enumeration DateSeptember 16, 2020
Last NPPES UpdateJanuary 26, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1124634175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
39 W MAIN ST, Canton, NY 13617
Open in Google Maps ↗

Other Names 1

Other NameCanton Health Center

CLIA Laboratory Certificates CMS CLIA

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 33D1050470

Canton Health Center · Canton, NY
Active · expires Mar 26, 2027
CLIA Number33D1050470
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 3, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael S. Seidman
Laboratory Phone(315) 393-4700
Laboratory LocationCanton Health Center39 W Main St, Canton, NY 13617
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

KATELYN MCKINLEY FNP-C
Nurse Practitioner (Family)
39 W MAIN ST
CANTON, NY 13617
St. Lawrence County (315) 379-4700
CARTHAGE AREA HOSPITAL INC
Clinic/Center (Rural Health)
39 W MAIN ST
CANTON, NY 13617
St. Lawrence County (315) 379-4700
RICHARD DANY TOMBLER MD
Orthopaedic Surgery
39 W MAIN ST
CANTON, NY 13617
St. Lawrence County (315) 393-3600
DARGIE MEDICAL PLLC
Obstetrics & Gynecology
39 W MAIN ST
CANTON, NY 13617
St. Lawrence County (315) 379-1024
DEREK BROWN PTA
Physical Therapy Assistant
39 W MAIN ST
CANTON, NY 13617
St. Lawrence County (315) 379-4700
KAILEIGH BONNO FNP-C
Nurse Practitioner (Family)
39 W MAIN ST
CANTON, NY 13617
St. Lawrence County (315) 379-4700

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 1124634175. It was assigned to this organization in the NPPES registry on September 16, 2020. The provider is also known as Canton Health Center.

Where is Claxton-Hepburn Medical Center located?

Claxton-Hepburn Medical Center is located at 39 W Main St, Canton, NY 13617. The listed phone number is (315) 379-4700.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1050470) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Claxton-Hepburn Medical Center was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.