TULLY HILL
NPI 1629135512
Substance Abuse Rehabilitation Facility in Tully, NY

Active since January 02, 2007CLIA 33D2060407 · Microscopy
5821 ROUTE 80, TULLY, NY 13159(315) 696-6114(315) 696-8509 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tully Hill NPPES

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

TULLY HILL (NPI 1629135512) is a healthcare organization registered as a substance abuse rehabilitation facility in Tully, New York and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Stephanie L Vormwald, Controller, as its authorized official.

NPPES Registry Identity

NPI1629135512
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTULLY HILL
Location Address5821 ROUTE 80Tully, NY 13159-1116
Mailing AddressPo Box 1116Tully, NY 13159-1116 · (315) 696-6114 · Fax (315) 696-8509
Fax(315) 696-8509
Organization SubpartNo
Authorized OfficialStephanie L VormwaldController · (315) 696-6114
Enumeration DateJanuary 2, 2007
Last NPPES UpdateApril 22, 2014
NPI 1629135512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

5821 ROUTE 80, Tully, NY 13159

Other Identifiers 1

Medicaid01805967NY

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 for Provider-Performed Microscopy Procedures (PPMP) 33D2060407

Tully Hill Corporation · Tully, NY
Active · expires Mar 26, 2027
CLIA Number33D2060407
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 11, 2013
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gregory T. Serfer
Laboratory Phone(315) 696-6114
Laboratory LocationTully Hill Corporation5821 Rte 80, Tully, NY 13159
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Nurse Practitioner (Family)
5821 ROUTE 80, BOX 1116
TULLY, NY 13159
Nurse Practitioner (Family)
5821 ROUTE 80
TULLY, NY 13159

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 Tully Hill's NPI number?

The NPI number for Tully Hill is 1629135512. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Tully Hill located?

Tully Hill is located at 5821 Route 80, Tully, NY 13159. The listed phone number is (315) 696-6114.

What is Tully Hill's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Tully Hill hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2060407) 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 Tully Hill was last updated on April 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.