IRA DAVENPORT MEMORIAL HOSPITAL (NPI# 1972835957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972835957 |
Entity Type | Organization |
Organization Name | IRA DAVENPORT MEMORIAL HOSPITAL |
Other Organization Name | DAVENPORT AND TAYLOR |
Practice Address |
7571 State Route 54 Bath NY 14810-9504 |
Practice Telephone | 6077768564 |
Practice Fax Number | 6077768817 |
Mailing Telephone | 6077768564 |
Mailing Fax Number | 6077768817 |
Enumeration Date | 2010-02-02 |
Last Update Date | 2019-04-01 |
Authorized Official Name | MR. JONATHAN I. LAWRENCE (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6077374100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
290044 | NY | Hospitals |
Other Name | Type Code |
---|---|
Davenport and Taylor | Other Name - Individual/Organization |
Street Address |
7571 STATE ROUTE 54 |
City | BATH |
State | NY |
Zip Code | 14810-9504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861462731 | Eileen Feltner | Nurse Practitioner | 7571 State Route 54, Bath, NY 14810-9504 | 2006-01-24 |
1215455191 | Nes Medical Services of New York PC | Emergency Medicine | 7571 State Route 54, Bath, NY 14810-9504 | 2017-08-31 |
1346634961 | Jaime Francis Hillman | Occupational Therapist | 7571 State Route 54, Bath, NY 14810 | 2015-03-20 |
1164815098 | Stephanie Forester | Physical Therapist | 7571 State Route 54, Bath, NY 14810-9504 | 2015-03-17 |
1528451457 | Cassandra Paulchel | Occupational Therapist | 7571 State Route 54, Bath, NY 14810-9504 | 2015-03-17 |
1578956512 | Christie Emerson | Physical Therapist | 7571 State Route 54, Bath, NY 14810-9504 | 2015-03-16 |
1316339351 | Shivani Patel | Physical Therapist | 7571 State Route 54, Bath, NY 14810-9504 | 2015-02-27 |
1295127264 | Anna Petti | Physical Therapist | 7571 State Route 54, Bath, NY 14810-9504 | 2015-02-26 |
1700294089 | Brandi Taylor | Dietitian, Registered | 7571 State Route 54, Bath, NY 14810-9504 | 2014-07-30 |
1043535537 | Lisa Marie Webster | Physical Therapist | 7571 State Route 54, Ira Davenport Mem.hospital, Rehab Services Department, Bath, NY 14810-9504 | 2010-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
1790186872 | Aspirehope Ny, Inc. | Respite Care | 25 West Steuben St., Bath, NY 14810 | 2014-09-09 |
1679858096 | Jean M Wheeler | Social Worker | 216 Maple Heights, Bath, NY 14810 | 2011-10-17 |
1841506003 | Syed M.a. Ehtisham | Orthopaedic Surgery | 7124 Snyder Hill Road, Bath, NY 14810 | 2010-08-26 |
1316278831 | Sandra D Martins-skolny | Physical Therapist | 111 Williamson Terrace, Nt, Bath, NY 14810 | 2010-01-22 |
1417188947 | Steuben County Office for The Aging | Public Health or Welfare | 3 East Pulteney Sq, Bath, NY 14810 | 2009-07-31 |
1619115870 | Judy Ann Thompson | Licensed Practical Nurse | 15 Geneva Street, Bath, NY 14810 | 2009-01-27 |
1407020100 | Cathleen A Russell | Licensed Practical Nurse | 6842 Craig Road, Bath, NY 14810 | 2008-04-15 |
1952572356 | Institute for Human Services | Case Management | 6666 County Road 11, Bath, NY 14810 | 2008-03-13 |
1073791984 | Gerri Ellen Brink | Licensed Practical Nurse | 5635 Tamarack Ln, Bath, NY 14810 | 2008-02-01 |
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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 |
---|---|---|---|---|
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 |
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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.