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TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
NPI 1215131586
Family Medicine in Wayland, NY

Active since June 12, 2007CLIA 33D2096491 · Waiver
200 N MAIN ST, WAYLAND, NY 14572(585) 728-5131(585) 728-9305 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 30, 2025, Feb 7, 2025, Dec 16, 2022 and 1 more (4 updates tracked since 2017).

About Tri-county Family Medicine Program, Inc. NPPES

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

TRI-COUNTY FAMILY MEDICINE PROGRAM, INC. (NPI 1215131586) is a healthcare organization registered as a family medicine in Wayland, New York and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Karen A Stone, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215131586
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
Location Address200 N MAIN STWayland, NY 14572-1034
Mailing Address10869 State Route 36Dansville, NY 14437-9444 · (585) 335-3100 · Fax (585) 335-8695
Phone(585) 728-5131
Fax(585) 728-9305
Organization SubpartNo
Authorized OfficialKaren A StoneCeo · (585) 519-1575
Enumeration DateJune 12, 2007
Last NPPES UpdateJune 16, 20264 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1215131586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 2527200R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 N MAIN ST, Wayland, NY 14572
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 33D2096491

Tri-County Family Medicine Program, Inc · Wayland, NY
Active · expires Mar 26, 2027
CLIA Number33D2096491
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 27, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Joseph Depra
Laboratory Phone(585) 728-5131
Laboratory LocationTri-County Family Medicine Program, Inc200 N Main Street, Wayland, NY 14572
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ANITA ECK PA-C
Physician Assistant
200 N MAIN ST
WAYLAND, NY 14572
Steuben County (585) 728-5131
DR. JOSEPH DEPRA MD
Family Medicine
200 N MAIN ST
WAYLAND, NY 14572
Steuben County (585) 728-5131
GAYLE MOSHER M.D.
Pediatrics
200 N MAIN ST
WAYLAND, NY 14572
Steuben County (585) 728-5131

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 Tri-County Family Medicine Program, Inc.'s NPI number?

The NPI number for Tri-County Family Medicine Program, Inc. is 1215131586. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Tri-County Family Medicine Program, Inc. located?

Tri-County Family Medicine Program, Inc. is located at 200 N Main St, Wayland, NY 14572. The listed phone number is (585) 728-5131.

What is Tri-County Family Medicine Program, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Tri-County Family Medicine Program, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2096491) 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 Tri-County Family Medicine Program, Inc. was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.