NPIMap

Organization Active NPI

Guthrie Cortland Medical Center

  • Psychiatric Hospital Unit
  • Cortland, NY
National Provider Identifier
1033117635
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
GUTHRIE CORTLAND MEDICAL CENTER
Practice address
134 Homer Ave
Cortland, NY 13045-1206
Phone
(607) 756-3554
Fax
(607) 756-3545
NPI assigned
Jul 8, 2005
Organization subpart
Yes
Parent organization
GUTHRIE CORTLAND MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denise Wrinn
Title
Vice President of Finance/Cfo
Phone
(607) 756-3526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NY Primary

Addresses

Primary practice location

134 Homer Ave
Cortland, NY 13045-1206

Mailing address

PO Box 2060
Cortland, NY 13045-0946
Phone (607) 756-3554

Other identifiers 1

IdentifierTypeStateIssuer
00279176MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040709000680 NY Part B Supplier - Clinic/Group Practice 6002714177 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cortland, NY
O20070502000145 NY Part A Provider - Hospital 6002714177 Practice locations: Cortland, NY

Hospital certification: CCN 33S175

Legal name
GUTHRIE CORTLAND MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Apr 25, 1892 in NY
Enrollment address
134 Homer Ave
Cortland, NY 13045-1206
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Locum Tenensanesth

Interoperability endpoints

  • FHIR API: https://fhir.guthrie.org/FHIR-PRD/api/FHIR/R4/

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Katherine Belokas Individual Corporate Director Aug 18, 2021
W-2 Managing Employee Aug 18, 2021
Jennifer L Yartym Individual Corporate OfficerPresident Sep 9, 2019
Corporate DirectorEx Officio Board Member Sep 9, 2019
W-2 Managing EmployeePresident and Coo Sep 9, 2019
Wendy Sowle Individual Corporate Director Jan 1, 2017
W-2 Managing Employee Jan 1, 2017
The Guthrie Clinic Organization, Sayre, PA Corporation, Non-profit Operational/Managerial Control Jan 1, 2020 100%
Other Jan 1, 2019
Lucia Saggiomo Individual Corporate Director Jan 1, 2017
W-2 Managing Employee Jan 1, 2017

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033117635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2060",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130450946",
            "telephone_number": "607-756-3554",
            "fax_number": "607-756-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451206",
            "telephone_number": "607-756-3554",
            "fax_number": "607-756-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE CORTLAND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUTHRIE CORTLAND MEDICAL CENTER",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WRINN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE/CFO",
        "authorized_official_telephone_number": "607-756-3526"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279176",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.