FAXTON-ST. LUKE'S HEALTHCARE (NPI# 1154764934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154764934 |
| Entity Type | Organization |
| Organization Name | FAXTON-ST. LUKE'S HEALTHCARE |
| Practice Address |
1650 Champlin Ave Utica NY 13502 |
| Mailing Address |
2209 Genesee St/ Business Office Room #315 Utica NY 13501-5809 |
| Practice Telephone | 3156245145 |
| Practice Fax Number | 3156246113 |
| Mailing Telephone | 3150183282 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | CODY WHITE (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 3158014429 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAXTON-ST. LUKE'S HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
3203003H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336236249 | Faxton-st. Luke's Healthcare | Clinic/Center | 221 Broad St., Oneida, NY 13421 | 2006-10-10 |
| 1649350380 | Faxton-st. Luke's Healthcare | General Acute Care Hospital | 1656 Champlin Ave, Utica, NY 13502 | 2006-10-17 |
| 1700973245 | Faxton-st. Luke's Healthcare | Clinic/Center | 1676 Sunset Ave, Utica, NY 13502 | 2006-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAXTON-ST. LUKE'S HEALTHCARE | 1656 Champlin Ave, Utica, NY 13502-4830 |
| New York State Corporations | FAXTON-ST. LUKE'S HEALTHCARE | P.o. Box 479, Utica, New York 13503-0479 |
| Street Address |
1650 CHAMPLIN AVE |
| City | UTICA |
| State | NY |
| Zip Code | 13502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134104573 | Visiting Nurse Association of Utica and Oneida County Inc | Home Health | 1650 Champlin Ave, Utica, NY 13502-4801 | 2005-12-08 |
| 1316585706 | Justin Robert Warren | Registered Nurse | 1650 Champlin Ave, Utica, NY 13502-4801 | 2019-12-16 |
| 1063076842 | Julia T Elacqua | Registered Nurse | 1650 Champlin Ave, Utica, NY 13502-4801 | 2019-04-26 |
| 1134782105 | Julie Ann Mcbride | Occupational Therapist | 1650 Champlin Ave, Utica, NY 13502-4801 | 2019-04-16 |
| 1073076188 | Katherine Mary Weller | Registered Nurse | 1650 Champlin Ave, Utica, NY 13502-4801 | 2019-04-08 |
| 1003367038 | Sarah Dunham | Nurse Practitioner | 1650 Champlin Ave, Utica, NY 13502-4801 | 2016-10-14 |
| 1548331143 | Mvhs Rehabilitation & Nursing Home | Skilled Nursing Facility | 1650 Champlin Ave, Utica, NY 13502 | 2006-11-13 |
| 1003904863 | St Luke's Residential Healthcare Facility Inc | Skilled Nursing Facility | 1650 Champlin Ave, Utica, NY 13502 | 2006-10-10 |
| 1184717837 | Faxton-st. Lukes Healthcare | Rehabilitation Unit | 1650 Champlin Ave, Utica, NY 13502 | 2006-10-02 |
| 1578578126 | St Luke's Residential Healthcare Facility Inc | Skilled Nursing Facility | 1650 Champlin Ave, Utica, NY 13502 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124228770 | Faxton-st. Lukes Healthcare | Clinic/Center | 2150 Bleecker St, Utica, NY 13501-1738 | 2007-07-23 |
| 1700973245 | Faxton-st. Luke's Healthcare | Clinic/Center | 1676 Sunset Ave, Utica, NY 13502 | 2006-10-06 |
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| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
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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.