NPIMap

Organization Active NPI

Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
National Provider Identifier
1093712911
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
AUBURN COMMUNITY HOSPITAL
Practice address
17 Lansing St
Auburn, NY 13021-1983
Phone
(315) 255-7209
NPI assigned
Jul 7, 2005
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Jason Lesch
Title
Cfo
Phone
(315) 255-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

17 Lansing St
Auburn, NY 13021-1983

Mailing address

17 Lansing St
Auburn, NY 13021-1983

Other practice location 1

5 Lansing St
Auburn, NY 13021-1983
Phone (315) 253-1818

Other practice location 2

303 Grant Ave
Auburn, NY 13021-1407
Phone (315) 258-7100

Other practice location 3

793 W Genesee Street Rd
Skaneateles, NY 13152-9445
Phone (315) 685-9355

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031120000617 NY Part B Supplier - Clinic/Group Practice 2365346525 Receives reassigned benefits from 300 practitioners
2 other NPIs on this enrollment
Practice locations: Auburn, NY
O20081125000006 NY Part A Provider - Hospital 2365346525 Practice locations: Skaneateles, NY; Auburn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093712911. Details of each certification follow.

Hospital certification: CCN 330235

Legal name
AUBURN COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 27, 2023
Beds
99
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1878 in NY
Enrollment address
17 Lansing St
Auburn, NY 13021-1983
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Auburn Community HospitalCCN 330235 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

797 W Genesee Street Rd
Skaneateles, NY 13152

803 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-9355

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Patricia Evangelista Individual W-2 Managing EmployeeManager Patient Financial Servic Jun 1, 1987
Michael B Brady Individual Corporate OfficerBoard Member Jan 1, 2014
Susan Edinger Individual Corporate OfficerBoard Member Jan 1, 2015
David Gould Individual Corporate OfficerBoard Member Jan 1, 2017
Elane Daly Individual Corporate OfficerBoard Member Jan 1, 2011
Alan Charles Sherburne Individual Corporate OfficerBoard Member Jan 1, 2024
Katrina Ladouce-Wilson Individual W-2 Managing EmployeeProvider Enrollment Specialist Aug 2, 2022
John a Riccio Individual Corporate OfficerBoard Member Jan 1, 2025
Joseph Pabis Individual Corporate OfficerBoard Member Jan 1, 2013
Anthony Franceschelli Individual Corporate OfficerBoard Member Jan 1, 2011
Scott Berlucchi Individual Corporate Officer Nov 1, 2008
Katherine Conway-Russell Individual W-2 Managing Employee Apr 1, 2022
Christina Cornell Individual Corporate OfficerBoard Member Jan 1, 2017
Patsy M Iannolo Individual Corporate OfficerBoard Member Jan 1, 2014
Brian Durant Individual Corporate OfficerBoard Member Jan 1, 2018
Jason R Lesch Individual Corporate OfficerChief Financial Officer Aug 4, 2014

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 304

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 304

Affiliated clinicians 335

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 335

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1093712911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Lansing St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211983",
            "country_code": "US",
            "telephone_number": "315-253-1818",
            "fax_number": "315-253-1792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211407",
            "country_code": "US",
            "telephone_number": "315-258-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "793 W Genesee Street Rd",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "131529445",
            "country_code": "US",
            "telephone_number": "315-685-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUBURN COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "LESCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-255-7011"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.