SOLDIERS & SAILORS MEMORIAL HOSPITAL (NPI# 1285777086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285777086 |
| Entity Type | Organization |
| Organization Name | SOLDIERS & SAILORS MEMORIAL HOSPITAL |
| Other Organization Name | SOLDIERS & SAILORS HOSPITAL PSYCH |
| Practice Address |
418 N Main St Penn Yan NY 14527-1070 |
| Mailing Address |
196 North St Geneva NY 14456-1651 |
| 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 & SAILORS MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CHOICE | 0120050XW | 01 |
| NY | BLUE CROSS | XW | 01 |
| NY | 00336498 | 05 | |
| NY | PREFERRED CARE | 106134EU | 01 |
| Other Name | Type Code |
|---|---|
| SOLDIERS & SAILORS HOSPITAL PSYCH | 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 |
| 1093858896 | Soldiers & Sailors Memorial Hospital | Medicare Defined Swing Bed 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1033579446 | Pura Garcia-serrablo | Psychiatric Unit | 21006 42nd Ave, Apt. 1e, Bayside, NY 11361-2771 | 2016-02-26 |
| 1376916635 | Edith | Psychiatric Unit | 2123 41st St, 1st Floor, Astoria, NY 11105-1708 | 2015-11-09 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1366868218 | Brian Connelly | Psychiatric Unit | 27 Cheryl Dr, Shoreham, NY 11786-2356 | 2014-03-14 |
| 1104253772 | Pederson-krag | Psychiatric Unit | 77 Radcliffe Ave., Farmingdale, NY 11735 | 2013-09-27 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
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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.