ROME MEMORIAL HOSPITAL, INC (NPI# 1952362741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952362741 |
| Entity Type | Organization |
| Organization Name | ROME MEMORIAL HOSPITAL, INC |
| Practice Address |
155 W Dominick St Rome NY 13440-5809 |
| Mailing Address |
1500 N James St Rome NY 13440-2844 |
| Practice Telephone | 3153387640 |
| Mailing Telephone | 3153387000 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | MR. BASIL ARIGLIO (PRESIDENT/CEO) |
| Authorized Official Telephone | 3153387000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HMO BLUE | 0009 | 01 |
| NY | 352534 | 05 | |
| NY | MVP | 0392 | 01 |
| NY | CDPHP | 10060775 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306807193 | Rome Memorial Hospital, Inc | Clinic/Center | 264 W Dominick St, Rome, NY 13440-5812 | 2006-03-31 |
| 1336100767 | Rome Memorial Hospital, Inc | Clinic/Center | 13407 State Route 12, Boonville, NY 13309-4954 | 2006-03-28 |
| 1891113965 | Rome Memorial Hospital, Inc | Clinic/Center | 5 Masonic Ave, Camden, NY 13316-1234 | 2014-04-04 |
| 1356689004 | Rome Memorial Hospital, Inc | Clinic/Center | 1500 N James St, Rome, NY 13440-2844 | 2013-01-30 |
| 1073693420 | Rome Memorial Hospital, Inc | Clinic/Center | 155 W Dominick St, Rome, NY 13440-5809 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROME MEMORIAL HOSPITAL, INC. | 1500 N James St, Rome, NY 13440-2844 |
| Street Address |
155 W DOMINICK ST |
| City | ROME |
| State | NY |
| Zip Code | 13440-5809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699027995 | Annie M Wafer | Nurse Practitioner | 155 W Dominick St, Rome, NY 13440 | 2012-10-10 |
| 1073693420 | Rome Memorial Hospital, Inc | Clinic/Center | 155 W Dominick St, Rome, NY 13440-5809 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1497024178 | Richard J Sullivan, M.d., P.C. | Clinic/Center | 7904 Turin Rd, Rome, NY 13440-1933 | 2011-12-23 |
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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.