Provider Demographics
NPI:1629228937
Name:STEUBEN CHURCHPEOPLE AGAINST POVERTY
Entity type:Organization
Organization Name:STEUBEN CHURCHPEOPLE AGAINST POVERTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-654-7487
Mailing Address - Street 1:26 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2207
Mailing Address - Country:US
Mailing Address - Phone:607-654-7487
Mailing Address - Fax:607-973-2202
Practice Address - Street 1:26 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2207
Practice Address - Country:US
Practice Address - Phone:607-654-7487
Practice Address - Fax:607-973-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7515431251E00000X
NY7515433251E00000X
NY7515435251E00000X
NY7515430251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01304021Medicaid