SOLDIERS & SAILORS MEMORIAL HOSPITAL (NPI# 1093858896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093858896 |
| Entity Type | Organization |
| Organization Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Other Organization Name | SOLDIERS & SAILORS HOSPITAL SWING |
| Practice Address |
418 N Main St Penn Yan NY 14527-1070 |
| Practice Telephone | 3157874150 |
| Practice Fax Number | 3157874794 |
| Mailing Telephone | 3157874150 |
| Mailing Fax Number | 3157874794 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2014-11-13 |
| Authorized Official Name | MS. PAMELA E JOHNSON (TREASURER & CFO) |
| Authorized Official Telephone | 3157874030 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOLDIERS AND SAILORS MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 40 | 01 |
| NY | 00336498 | 05 | |
| NY | PREFERRED CARE | 106127EL | 01 |
| NY | BLUE CHOICE | 015005055 | 01 |
| Other Name | Type Code |
|---|---|
| SOLDIERS & SAILORS HOSPITAL SWING | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989265 | Soldiers & Sailors Memorial Hospital | Family Medicine | 1991 Balsley Rd, Seneca Falls, NY 13148-9797 | 2020-10-16 |
| 1972101491 | Soldiers & Sailors Memorial Hospital | Family Medicine | 367 E Main St, Waterloo, NY 13165-1662 | 2020-10-16 |
| 1538708128 | Soldiers & Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2019-12-30 |
| 1891972774 | Soldiers & Sailors Memorial Hospital | Anesthesiology | 418 N Main St, Penn Yan, NY 14527-1070 | 2008-01-23 |
| 1629255500 | Soldiers & Sailors Memorial Hospital | Surgery | 418 N Main St, Penn Yan, NY 14527-1070 | 2008-01-23 |
| 1376686162 | Soldiers & Sailors Memorial Hospital | Skilled Nursing Facility | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1285777086 | Soldiers & Sailors Memorial Hospital | Psychiatric Unit | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1043353618 | Soldiers & Sailors Memorial Hospital | Emergency Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2007-02-14 |
| 1215044516 | Soldiers & Sailors Memorial Hospital | Emergency Medical Technician, Paramedic | 418 N Main St, Penn Yan, NY 14527-1085 | 2006-08-23 |
| Street Address |
418 N MAIN ST |
| City | PENN YAN |
| State | NY |
| Zip Code | 14527-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993098 | Eleanor Hinds De Witt | Internal Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2005-09-23 |
| 1073123170 | Rachael Patten | Social Worker | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-08-04 |
| 1669003117 | Kaitlin Dehond | Physical Therapist | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-02-03 |
| 1427698265 | Joshua Pritchard | Occupational Therapist | 418 N Main St, Penn Yan, NY 14527-1070 | 2020-01-09 |
| 1538708128 | Soldiers & Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2019-12-30 |
| 1831663806 | Amanda Marie Everett-smith I | Social Worker | 418 N Main St, Penn Yan, NY 14527-1070 | 2019-01-14 |
| 1720597636 | Nathan Travis Stowell | Nurse Practitioner | 418 N Main St, Penn Yan, NY 14527-1070 | 2017-09-22 |
| 1639619026 | Karlee Roberts | Social Worker | 418 N Main St, John D Kelly Behavioral Health, Penn Yan, NY 14527-1070 | 2017-03-03 |
| 1528519378 | Soldiers and Sailors Memorial Hospital | Family Medicine | 418 N Main St, Penn Yan, NY 14527-1070 | 2016-10-17 |
| 1043582380 | Tara A. Atkinson | Social Worker | 418 N Main St, Patient Accounting Dept., Penn Yan, NY 14527-1070 | 2012-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523624 | Patrick James Lenney | Social Worker | 418 N. Main St, Penn Yan, NY 14527 | 2020-03-13 |
| 1568937340 | Robert D Knapp Independent At Home | Clinic/Center | 1 Keuka Business Park Suite201, Penn Yan, NY 14527 | 2018-10-09 |
| 1912241555 | Janis Michele Jepsen | Specialist | 417 Liberty Street Suite 2120, Penn Yan, NY 14527 | 2012-11-20 |
| 1316031057 | Kimberly A Newell | Nurse Anesthetist, Certified Registered | 418 North Main Street, Penn Yan, NY 14527 | 2006-10-03 |
| 1346341625 | Kathleen Gail Obrien | Nurse Practitioner | 465 North Main Street, Penn Yan, NY 14527 | 2006-09-26 |
| 1699877209 | Deborah L Casson | Nurse Practitioner | 1 Keuka Business Park, Penn Yan, NY 14527 | 2006-09-03 |
| 1205377454 | Nancy Stone | Community Health Worker | 1 Keuka Business Park, Suite 205, Penn Yan, NY 14527 | 2017-03-20 |
| 1386786895 | James L Coles Lcsw, PC | Social Worker | 1 Keuka Business Park, Penn Yan, NY 14527 | 2007-02-12 |
| 1124181094 | Sherri L Borglum | Counselor | 21 Main St, Penn Yan, NY 14527 | 2006-12-19 |
| 1033215934 | Janet Lisa Lewis | Psychiatry & Neurology | 108 Kimball Ave, Suite 1, Penn Yan, NY 14527 | 2006-09-16 |
| Find all providers in zip 14527 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992247282 | Trelawny Car Service Inc. | Medicare Defined Swing Bed Unit | 690 E 233rd St, Bronx, NY 10466-2802 | 2016-11-17 |
| 1154872216 | Nita Roy | Medicare Defined Swing Bed Unit | 59 Sunset Ave, Staten Island, NY 10314-5038 | 2016-10-24 |
| 1942691605 | Tlc Health Network | Medicare Defined Swing Bed Unit | 12644 Seneca Rd, Irving, NY 14081-9714 | 2015-02-16 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1710206560 | Richmond University Medical Center | Medicare Defined Swing Bed Unit | 22 River Ter Apt 1f, New York, NY 10282-1142 | 2010-05-19 |
| 1740442870 | Garnet Health Medical Center Catskills | Medicare Defined Swing Bed Unit | 8881 Nys Route 97, Callicoon, NY 12723 | 2008-06-30 |
| 1992772560 | Kings County Hospital Center | Medicare Defined Swing Bed Unit | 1828 E 52nd St, Brooklyn, NY 11234-3814 | 2006-03-02 |
| 1568827327 | Rachelle Alexandre-barais | Medicare Defined Swing Bed Unit | 1425 Portland Ave, Rochester, NY 14621-3001 | 2015-12-22 |
| 1891104717 | Carthage Area Hospital, Inc. | Medicare Defined Swing Bed Unit | 1001 West St, Carthage, NY 13619-9703 | 2014-08-05 |
| 1518380732 | Lewis County General Hospital | Medicare Defined Swing Bed Unit | 7785 N State St, Lowville, NY 13367-1229 | 2014-01-23 |
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| 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.