CLAXTON-HEPBURN MEDICAL CENTER (NPI# 1427119486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427119486 |
| Entity Type | Organization |
| Organization Name | CLAXTON-HEPBURN MEDICAL CENTER |
| Practice Address |
214 King St Ogdensburg NY 13669-1142 |
| Practice Telephone | 3153938880 |
| Practice Fax Number | 3153937250 |
| Mailing Telephone | 3153938880 |
| Mailing Fax Number | 3153937250 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | KELLEY M. TIERNAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3157135350 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | Y |
| Parent Organization Name | CLAXTON HEPBURN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
4401000H | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00354072 | 05 | |
| NY | 02966989 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614973 | Claxton-hepburn Medical Center | Clinic/Center | 4 Montgomery Hts, Waddington, NY 13694-7712 | 2020-09-16 |
| 1437765484 | Claxton-hepburn Medical Center | Clinic/Center | 2263 State Highway 310, Madrid, NY 13660-3224 | 2020-09-16 |
| 1811503865 | Claxton-hepburn Medical Center | Clinic/Center | 225 St Lawrence Ave, Hammond, NY 13646-3259 | 2020-09-16 |
| 1124634175 | Claxton-hepburn Medical Center | Clinic/Center | 39 W Main St, Canton, NY 13617-1358 | 2020-09-16 |
| 1164038113 | Claxton-hepburn Medical Center | Clinic/Center | 100 Horwood Pl, Ogdensburg, NY 13669-4510 | 2020-09-16 |
| 1558916452 | Claxton-hepburn Medical Center | Anesthesiology | 214 King Street, Ogdensburg, NY 13669 | 2019-08-07 |
| 1891753034 | Claxton-hepburn Medical Center | General Acute Care Hospital | 214 King St, Ogdensburg, NY 13669-1142 | 2006-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLAXTON-HEPBURN MEDICAL CENTER | 214 King St, Ogdensburg, NY 13669-1142 |
| New York State Corporations | CLAXTON-HEPBURN MEDICAL CENTER | 214 King Street, Ogdensburg, New York 13669 |
| Street Address |
214 KING ST |
| City | OGDENSBURG |
| State | NY |
| Zip Code | 13669-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182633 | Ali M Gharagozloo Md PC | Radiology | 214 King St, Ogdensburg, NY 13669-1142 | 2005-08-26 |
| 1760094478 | Leah Thompson | Nurse Practitioner | 214 King St, Ogdensburg, NY 13669-1142 | 2020-08-24 |
| 1932717360 | Katelyn Guarino | Social Worker | 214 King St, Ogdensburg, NY 13669-1142 | 2020-07-22 |
| 1457976128 | Gerald Joseph Hourihan | Physical Therapist | 214 King St, Ogdensburg, NY 13669-1142 | 2020-06-09 |
| 1306478722 | Eileen Joyce Sharrow | Dietetic Technician, Registered | 214 King St, Ogdensburg, NY 13669 | 2020-02-05 |
| 1912542119 | Ryan Beshaw | Social Worker | 214 King St, Ogdensburg, NY 13669-1142 | 2019-11-12 |
| 1134763048 | Kori Larose | Social Worker | 214 King St, Ogdensburg, NY 13669-1142 | 2019-11-04 |
| 1568028306 | Naguib Yassa | Pathology | 214 King St, Ogdensburg, NY 13669-1142 | 2019-05-17 |
| 1386114395 | Miranda Rohe | Social Worker | 214 King St, Ogdensburg, NY 13669-1142 | 2018-12-03 |
| 1497230742 | Alycia Short | Physician Assistant | 214 King St, Ogdensburg, NY 13669-1142 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598274581 | Taylor Mclear | Occupational Therapist | 100 Ford St, Ogdensburg, NY 13669 | 2017-09-22 |
| 1457769267 | Nupur Nagrare | Family Medicine | 100 Horwood Pl, Ogdensburg, NY 13669 | 2014-07-24 |
| 1598008039 | Darcie L Ferro | Counselor | 206 Ford St., Ogdensburg, NY 13669 | 2013-04-03 |
| 1326380999 | United Helpers Mosaic | Nursing Care | 732 Ford Street, Ogdensburg, NY 13669 | 2013-03-21 |
| 1831497346 | Nicole Sovie | Licensed Practical Nurse | 828 Franklin St., Ogdensburg, NY 13669 | 2011-03-08 |
| 1023331105 | Alyssa Megan Murphy | Pharmacist | 723 Canton Street, Ogdensbury, NY 13669 | 2010-03-03 |
| 1023266137 | Tonya Lynn Ott | Licensed Practical Nurse | 618 Irvin St, Ogdensburg, NY 13669 | 2008-09-03 |
| 1659551778 | Jeremy M. Warchol | Physical Therapist | 203 State Street, Northern Physical Therapy, Pllc, Ogdensburg, NY 13669 | 2007-11-06 |
| 1760683353 | Katie Elizabeth Lesperance | Social Worker | 109 Ford Street, Ogdensburg, NY 13669 | 2007-05-30 |
| 1013045632 | Dale Lester Hosmer | Dentist | 414 Jay Street, Ogdensburg, NY 13669 | 2007-03-02 |
| Find all providers in zip 13669 | ||||
| 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 |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | OGDENSBURG |
| Zip Code | 13669 |
Please comment or provide details below to improve the information on CLAXTON-HEPBURN 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.