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TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
NPI 1649474701
Family Medicine in Canaseraga, NY

Active since June 13, 2007CLIA 33D2237545 · Waiver
12 N CHURCH ST, CANASERAGA, NY 14822(607) 545-2111(607) 545-2100 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2025, Feb 10, 2025, Dec 16, 2022 and 1 more (4 updates tracked since 2022).

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 1649474701) is a healthcare organization registered as a family medicine in Canaseraga, 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

NPI1649474701
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
Location Address12 N CHURCH STCanaseraga, NY 14822-9721
Mailing Address10869 State Route 36Dansville, NY 14437-9444 · (585) 335-3100 · Fax (585) 335-8695
Phone(607) 545-2111
Fax(607) 545-2100
Organization SubpartNo
Authorized OfficialKaren A StoneCeo · (585) 519-1575
Enumeration DateJune 13, 2007
Last NPPES UpdateJune 16, 20264 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1649474701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
12 N CHURCH ST, Canaseraga, NY 14822
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 33D2237545

Tri-County Family Medicine Program · Canaseraga, NY
Active · expires Mar 26, 2027
CLIA Number33D2237545
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 27, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorLauren C. Marino
Laboratory Phone(607) 545-2111
Laboratory LocationTri-County Family Medicine Program12 N Church St, Canaseraga, NY 14822
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 4

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

BRUCE MACKELLAR MD
Family Medicine
12 N CHURCH ST
CANASERAGA, NY 14822
Allegany County (607) 545-2111
SHELBY GROSS FNP-C
Nurse Practitioner (Family)
12 N CHURCH ST
CANASERAGA, NY 14822
Allegany County (607) 545-2111
LAUREN MARINO RPA-C
Physician Assistant
12 N CHURCH ST
CANASERAGA, NY 14822
Allegany County (607) 545-2111
SIERRA QUINLAN PA-C
Physician Assistant (Medical)
12 N CHURCH ST
CANASERAGA, NY 14822
Allegany County (607) 545-2111

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 1649474701. It was assigned to this organization in the NPPES registry on June 13, 2007.

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

Tri-County Family Medicine Program, Inc. is located at 12 N Church St, Canaseraga, NY 14822. The listed phone number is (607) 545-2111.

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 33D2237545) 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 with the weekly NPPES data releases published by CMS.