FREEDOM CENTER OF BINGHAMTON – NPI #1477918597
Clinic/Center

FREEDOM CENTER OF BINGHAMTON is an AHC clinic located in BINGHAMTON, NY. NPPES has assigned the NPI number 1477918597 to FREEDOM CENTER OF BINGHAMTON on December 16, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FREEDOM CENTER OF BINGHAMTON” is a dba name, the actual legal business name for this organization is VESTAL HEALTHCARE, LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 10 years ago on Jan 27, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREEDOM CENTER OF BINGHAMTON below.

NPI Profile for
VESTAL HEALTHCARE, LLC

NPI Number
1477918597
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VESTAL HEALTHCARE, LLC
Doing Business As (dba): FREEDOM CENTER OF BINGHAMTON
Primary location
65 PENNSYLVANIA AVE
BINGHAMTON, NY 13903-1651
Phone: (607) 772-0419 Fax: (607) 772-0457
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK CAPUTO
PRESIDENT
Phone: (781) 699-9000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.