Active NPI
Auburn Community Hospital
- General Acute Care Hospital
- Auburn, NY
National Provider Identifier
1093712911
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- All disclosed owners & managing parties16
- National Provider Directory
- Owners & managing parties with NPI records3
- Other NPIs on the same Medicare enrollment2
- Other NPIs with the same Medicare PAC ID5
- Practitioners304
- Affiliated clinicians335
- Care Compare: Hospital
- NPI Registry JSON
- Other providers in Auburn, NY
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- AUBURN COMMUNITY HOSPITAL
- Practice address
- 17 Lansing St
Auburn, NY 13021-1983 - Phone
- (315) 255-7209
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
793 W Genesee Street Rd
Skaneateles, NY 13152-9445
Phone (315) 685-9355
Other practice location 2
5 Lansing St
Auburn, NY 13021-1983
Phone (315) 253-1818
Other practice location 3
303 Grant Ave
Auburn, NY 13021-1407
Phone (315) 258-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00347553 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
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
- Corporation
- Incorporated
- Jan 1, 1878 in NY
- Enrollment address
- 17 Lansing St
Auburn, NY 13021-1983 - Hospital subgroups
- Acute care, Psychiatric unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
All disclosed owners & managing parties 16
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Patricia Evangelista | W-2 Managing Employee | Jun 1, 1987 | |
| Michael B Brady | Corporate Officer | Jan 1, 2014 | |
| Susan Edinger | Corporate Officer | Jan 1, 2015 | |
| David Gould | Corporate Officer | Jan 1, 2017 | |
| Elane Daly | Corporate Officer | Jan 1, 2011 | |
| Alan Charles Sherburne | Corporate Officer | Jan 1, 2024 | |
| Katrina Ladouce-Wilson | W-2 Managing Employee | Aug 2, 2022 | |
| John a Riccio | Corporate Officer | Jan 1, 2025 | |
| Joseph Pabis | Corporate Officer | Jan 1, 2013 | |
| Anthony Franceschelli | Corporate Officer | Jan 1, 2011 | |
| Scott Berlucchi | Corporate Officer | Nov 1, 2008 | |
| Katherine Conway-Russell | W-2 Managing Employee | Apr 1, 2022 | |
| Christina Cornell | Corporate Officer | Jan 1, 2017 | |
| Patsy M Iannolo | Corporate Officer | Jan 1, 2014 | |
| Brian Durant | Corporate Officer | Jan 1, 2018 | |
| Jason R Lesch | Corporate Officer | Aug 4, 2014 |
National Provider Directory
National Provider DirectoryLocations
303 Grant Ave
Auburn, NY 13021
Phone (315) 253-1805
17 Lansing St
Ste 301
Auburn, NY 13021
Phone (315) 567-0700
803 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-9355
797 W Genesee Street Rd
Skaneateles, NY 13152
833 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 252-9562
Owners & managing parties with NPI records 3
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Anatomic Pathology & Clinical Pathology Physician
- Auburn, NY
- NPI 1518959469
Corporate Officer
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Cardiovascular Disease Physician
- Auburn, NY
- NPI 1962056408
O20031120000617
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Practitioners 304
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Affiliated clinicians 335
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Hospital
Medicare Care Compare- Listed as
- Auburn Community Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
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": "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"
},
{
"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"
}
],
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00347553",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.