ELIZABETHTOWN COMMUNITY HOSPITAL (NPI# 1184933475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184933475 |
| Entity Type | Organization |
| Organization Name | ELIZABETHTOWN COMMUNITY HOSPITAL |
| Practice Address |
66 Park Street Suite 100 Elizabethtown NY 12832-0000 |
| Mailing Address |
Po Box 277 Elizabethtown NY 12932-0277 |
| Practice Telephone | 5188732408 |
| Mailing Telephone | 5188732408 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | WILLIAM DOHERTY (DIRECTOR) |
| Authorized Official Telephone | 5188732408 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
032723-1 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053656744 | Elizabethtown Community Hospital | General Practice | 75 Park Street, Elizabethtown, NY 12932 | 2012-12-06 |
| 1487923637 | Elizabethtown Community Hospital | Ambulance | 75 Park St, Elizabethtown, NY 12932 | 2011-12-16 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ELIZABETHTOWN COMMUNITY HOSPITAL | 75 Park Street, Elizabethtown, Ny 12932 |
| Street Address |
66 PARK STREET SUITE 100 |
| City | ELIZABETHTOWN |
| State | NY |
| Zip Code | 12832-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194808998 | Jae Lyn Burke | Physician Assistant | 66 Park Street, Elizabethtown, NY 12932 | 2006-10-23 |
| 1801235288 | Vanessa Desmarais | Family Medicine | 66 Park Street, Elizabethtrown Health Center, Elizabethtown, NY 12932-0277 | 2013-06-19 |
| 1114208105 | Michael J Richards | Physical Therapist | 66 Park Street, Elizabethtown, NY 12932 | 2011-09-02 |
| 1710291356 | Kevin Robert Bouchard-hall | Physical Therapist | 66 Park Street, Suite 100, Elizabethtown, NY 12932-0000 | 2010-08-05 |
| 1851605505 | Kristen Alana Resto | Physical Therapist | 66 Park Street, Elizabethtown, NY 12932 | 2010-08-04 |
| 1396989059 | Mary Katharine Halloran | Family Medicine | 66 Park Street, Elizabethtown, NY 12932 | 2009-04-26 |
| 1316090657 | Mary Buehler-brandt | Physician Assistant | 66 Park Street, Elizabethtown, NY 12932 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851769541 | Freds Pharmacy LLC | Pharmacy | 75 Quaker Street, Granville, NY 12832 | 2015-09-11 |
| 1013353796 | Bianca B. Bernard | Registered Nurse | 84 East Potter Avenue, Granville, NY 12832 | 2013-05-21 |
| 1659693166 | Courtney Alexis Washburn | Pharmacist | 116 Quaker St, Granville, NY 12832 | 2010-02-25 |
| 1720114564 | Arnold Small | Dentist | The Orchard Nursing and Rehabilitation Centre, 10421state Route40, Granville, NY 12832 | 2007-02-26 |
| 1609933423 | Granville Central School District | Local Education Agency (LEA) | 58 Quaker St, Granville, NY 12832 | 2007-01-02 |
| 1891880944 | Anne E Riker | Physician Assistant | 17 Madison Street, Granville, NY 12832 | 2006-10-04 |
| 1881186930 | Brandy Lee Wadsworth | Registered Nurse | 79 North St, Granville, NY 12832 | 2018-06-05 |
| 1942653852 | Laurie Ann Dennison | Registered Nurse | 15 Pine St, Granville, NY 12832-1111 | 2016-07-15 |
| 1952873259 | Michelle Parbus | Physician Assistant | 24 Pine St, Granville, NY 12832-1127 | 2018-12-26 |
| 1710371539 | 73 North of Granville, Inc. | Custodial Care Facility | 73 North St, Granville, NY 12832-1136 | 2015-03-19 |
| Find all providers in zip 12832 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1689018756 | Bladen Healthcare, LLC | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2013-04-19 |
| 1558537282 | Bladen Healthcare LLC | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-02 |
| 1588699599 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-11 |
| 1891785184 | Elizabethtown Community Hospital | General Acute Care Hospital | 75 Park St, Elizabethtown, NY 12932-2300 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740658277 | Saint Barnabas Health System | General Acute Care Hospital | 2132 Wallace Ave, Apt-242, Bronx, NY 10462-2573 | 2015-09-15 |
| 1124412101 | Matthew Scott Stephany | General Acute Care Hospital | 356 Brush Creek Dr, Rochester, NY 14612-2270 | 2015-03-26 |
| 1235522764 | Lei Meng | General Acute Care Hospital | 39 Claremont Ave, Apt 82, New York, NY 10027 | 2015-03-09 |
| 1225437650 | 37th Ave Pharmacy Inc | General Acute Care Hospital | 9507 37th Ave, Jackson Heights, NY 11372-8024 | 2014-08-21 |
| 1326454372 | Liza John | General Acute Care Hospital | 97 Beaumont Cir, Apt-1, Yonkers, NY 10710-2032 | 2014-07-09 |
| 1699106187 | Nslij | General Acute Care Hospital | 1999 Marcus Ave Ste 106c, New Hyde Park, NY 11042-1028 | 2013-12-09 |
| 1588005466 | Newyork Presbyterian Hospital | General Acute Care Hospital | 109 Alpine Rd, Yonkers, NY 10710-2022 | 2013-07-08 |
| 1548601578 | New York Community Hospital, Brooklyn | General Acute Care Hospital | 8922 133rd St, 2nd Floor, Richmond Hill, NY 11418-2813 | 2013-07-06 |
| 1144565177 | Suny Downstate Medical Center | General Acute Care Hospital | 2 Fuschetto Ct, Farmingdale, NY 11735-4262 | 2012-12-03 |
| 1417205931 | Harlem Hospital | General Acute Care Hospital | 506 Lenox Avenue, 14th Floor, Room 106, New York, NY 10037 | 2012-08-15 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 12832 |
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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.