CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER (NPI# 1073534046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073534046 |
| Entity Type | Organization |
| Organization Name | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| Other Organization Name | CHAMPLAIN VALLEY PHYSICIANS MEDICAL CENTER PHARMACY |
| Practice Address |
214 Cornelia St Plattsburgh NY 12901-2317 |
| Mailing Address |
75 Beekman St Plattsburgh NY 12901-1438 |
| Practice Telephone | 5185627155 |
| Practice Fax Number | 5185627183 |
| Mailing Telephone | 5185627557 |
| Mailing Fax Number | 5185627183 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | SCOTT ST. GEORGE (CFO) |
| Authorized Official Telephone | 5185612000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
011772 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2063511 | 01 | |
| NY | 00318814 | 05 |
| Other Name | Type Code |
|---|---|
| CHAMPLAIN VALLEY PHYSICIANS MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225274525 | Champlain Valley Physicians Hospital Medical Center | Anesthesiology | 210 Cornelia St Ste 303, Plattsburgh, NY 12901-2318 | 2008-12-17 |
| 1609942739 | Champlain Valley Physicians Hospital Medical Center | Clinic/Center | 91 Plaza Blvd, Plattsburgh, NY 12901-6438 | 2006-11-28 |
| 1124481700 | Champlain Valley Physicians Hospital Medical Center | Pharmacy | 75 Beekman St, Plattsburgh, NY 12901 | 2016-04-01 |
| 1629282314 | Champlain Valley Physicians Hospital Medical Center | Skilled Nursing Facility | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2007-05-10 |
| 1487785382 | Champlain Valley Physicians Hospital Medical Center | Clinic/Center | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2007-03-09 |
| 1841344983 | Champlain Valley Physicians Hospital Medical Center | Clinic/Center | 75 Park St, Elizabethtown, NY 12932-2300 | 2007-01-23 |
| 1376607531 | Champlain Valley Physicians Hospital Medical Center | Psychiatric Unit | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2006-12-21 |
| 1033270699 | Champlain Valley Physicians Hospital Medical Center | General Acute Care Hospital | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2006-12-13 |
| 1124189782 | Champlain Valley Physicians Hospital Medical Center | Dietitian, Registered | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2006-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| New York State Corporations | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER | 75 Beekman Street, Plattsburgh, New York 12901 |
| Street Address |
214 CORNELIA ST |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881666311 | Albert E Abbott Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 214 Cornelia St, Suite 201, Plattsburgh, NY 12901-2306 | 2006-02-07 |
| 1245492842 | Brian David Henry | Surgery | 214 Cornelia St, Suite 102, Plattsburgh, NY 12901-2317 | 2008-06-26 |
| 1417130410 | Hanna Boutros Slim | Internal Medicine | 214 Cornelia St, Suite 102, Plattsburgh, NY 12901-2317 | 2007-12-12 |
| 1891816740 | Marissa Rae Matarrese | Plastic Surgery | 214 Cornelia St, #103, Plattsburgh, NY 12901-2306 | 2007-04-02 |
| 1992727325 | Megan Forttrell Baker | Physician Assistant | 214 Cornelia St, Suite 203, Plattsburgh, NY 12901-2317 | 2006-07-24 |
| 1851335384 | Deborah P. Gardiner | Physical Therapist | 214 Cornelia St, Suite 103, Plattsburgh, NY 12901-2317 | 2006-06-15 |
| 1619927407 | Stuart M. Hoffman | Surgery | 214 Cornelia St, Suite 102, Plattsburgh, NY 12901-2317 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013495423 | Parkview Niagara Street, LLC | Pharmacy | 1050 Niagara Street, Suite 110, Buffalo, NY 14213-2007 | 2018-07-30 |
| 1467822163 | New York City Health and Hospitals Corp | Pharmacy | 275 Atlantic Ave, Brooklyn, NY 11201-5714 | 2015-10-07 |
| 1053713883 | State of New York | Pharmacy | Cook St, Dannemora, NY 12929 | 2014-09-24 |
| 1376945618 | Pine Pharmaceuticals, LLC | Pharmacy | 100 Colvin Woods Pkwy Ste 300, Tonawanda, NY 14150-6974 | 2014-09-18 |
| 1851714752 | College of Veterinary Medicine | Pharmacy | Cornell University Phcy-vmc Bldg, Tower Rd, Ithaca, NY 14853 | 2014-01-28 |
| 1649318767 | Thales Well Pharmacy Inc | Pharmacy | 1785 New York Ave, Huntington Station, NY 11746-1727 | 2007-02-01 |
| 1154488476 | United Health Services, Inc. | Pharmacy | 10 42 Mitchell Ave, Binghamton, NY 13903-1602 | 2007-01-03 |
| 1134137375 | New York City Health and Hospitals Corporation | Pharmacy | 545 E 142nd St, Bronx, NY 10454-2110 | 2006-08-03 |
| 1427063270 | New York City Health and Hospitals Corporation | Pharmacy | 234 E 149th St Rm 2a1, Bronx, NY 10451-5504 | 2006-07-30 |
| 1437783461 | Christina Bumbalo | Pharmacy | 565 Abbott Rd, Buffalo, NY 14220-2039 | 2020-02-28 |
| Find all providers with the same taxonomy | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
Please comment or provide details below to improve the information on CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER.
| 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.