ELIZABETHTOWN COMMUNITY HOSPITAL (NPI# 1053656744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053656744 |
| Entity Type | Organization |
| Organization Name | ELIZABETHTOWN COMMUNITY HOSPITAL |
| Other Organization Name | ECH PHYSICIAN'S GROUP |
| Practice Address |
75 Park Street Elizabethtown NY 12932 |
| Mailing Address |
Po Box 277 Elizabethtown NY 12932-0277 |
| Practice Telephone | 5188739000 |
| Practice Fax Number | 5188733097 |
| Mailing Telephone | 5188739000 |
| Mailing Fax Number | 5188733097 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | MR. RODNEY BOULA (CEO) |
| Authorized Official Telephone | 5188739000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1552701C | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ECH Physician's Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487923637 | Elizabethtown Community Hospital | Ambulance | 75 Park St, Elizabethtown, NY 12932 | 2011-12-16 |
| 1184933475 | Elizabethtown Community Hospital | General Acute Care Hospital | 66 Park Street, Suite 100, Elizabethtown, NY 12832-0000 | 2010-10-04 |
| 1407061591 | Elizabethtown Community Hospital | Medicare Defined Swing Bed Unit | 75 Park St, Elizabethtown, NY 12932-2300 | 2007-05-11 |
| 1891785184 | Elizabethtown Community Hospital | General Acute Care Hospital | 75 Park St, Elizabethtown, NY 12932-2300 | 2005-10-27 |
| Street Address |
75 PARK STREET |
| City | ELIZABETHTOWN |
| State | NY |
| Zip Code | 12932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467484543 | Lynne Macco | Obstetrics & Gynecology | 75 Park Street, Gyn Clinic, Elizabethtown, NY 12932-0277 | 2006-07-07 |
| 1942808456 | Taylor Durocher | Physical Therapist | 75 Park Street, Elizabethtown, NY 12932 | 2020-10-16 |
| 1831722008 | Dawn Delmont Klotzko | Physical Therapist | 75 Park Street, Elizabethtown, NY 12932 | 2020-02-17 |
| 1891348587 | Kristine Mary Rock-dougherty | Speech-Language Pathologist | 75 Park Street, Elizabethtown, NY 12932-2300 | 2019-07-22 |
| 1669941431 | Mary E White-ferris | Registered Nurse | 75 Park Street, Elizabethtown, NY 12932-2300 | 2018-11-21 |
| 1700230232 | Uvm Health Network At Elizabethtown Community Hospital | Clinical Exercise Physiologist | 75 Park Street, Elizabethtown, NY 12932 | 2016-04-21 |
| 1336459858 | Sharon Marie Gold | Occupational Therapist | 75 Park Street, Elizabethtown, NY 12932 | 2010-10-18 |
| 1841401296 | Michael Robert Theeman | Physical Therapist | 75 Park Street, Elizabethtown, NY 12932 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052823 | Mary Elizabeth Durgan | Case Manager/Care Coordinator | Essex County Health Department, Childrens Service Unit 132 Water Street, Elizabethtown, NY 12932 | 2020-04-23 |
| 1588176903 | Windhorse Acupuncture | Acupuncturist | 107 Hand Ave, Suite 4b, Elizabethtown, NY 12932 | 2017-10-25 |
| 1932442134 | Korin Susan Burdo | Registered Nurse | 93 Water St, Elizabethtown, NY 12932 | 2013-04-05 |
| 1144545161 | Leanna Loye Deneale | Pharmacist | 7567 Court Street, Elizabethtown, NY 12932 | 2010-04-01 |
| 1184862112 | Essex County Transportation | Transportation Broker | 7551 Court St, Elizabethtown, NY 12932 | 2009-01-29 |
| 1174700363 | Annie Gronningsater Mckinley | Counselor | 7513 Court St, Elizabethtown, NY 12932 | 2008-01-30 |
| 1457535692 | Michael Morris | Pharmacist | 7550 Court Street, Elizabethtown, NY 12932 | 2007-12-24 |
| 1811190663 | Families First In Essex | Case Management | 196 Water Street, Elizabethtown, NY 12932 | 2007-06-08 |
| 1750500476 | Kristina Jennifer Pierson | Counselor | 7513 Court St., Elizabethtown, NY 12932 | 2007-04-24 |
| 1518018019 | Phyllis Ann Perna | Psychologist | 107 Hand Avenue, Elizabethtown, NY 12932 | 2007-01-13 |
| Find all providers in zip 12932 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1386037539 | Southeastern Health Physician Services | General Practice | 1921 White Lake Dr, Elizabethtown, NC 28337-6236 | 2015-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 12932 |
Please comment or provide details below to improve the information on ELIZABETHTOWN COMMUNITY HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.