NPIMap

Organization Active NPI

St.Christopher's Inn

  • Substance Abuse Rehabilitation Facility
  • Garrison, NY
National Provider Identifier
1093731069
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
02125430 Issued in NY
Legal business name
ST.CHRISTOPHER'S INN
Practice address
21 Franciscan Way
Garrison, NY 10524-0150
Phone
(845) 335-1000
Fax
(845) 335-1017
NPI assigned
Jul 14, 2006
Last updated
Apr 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Mark Campione
Title
Chief Financial Officer
Phone
(845) 335-1006

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3953200R NY
Substance Abuse Rehabilitation Facility 324500000X NY
Substance Abuse Rehabilitation Facility 324500000X 02125430 NY Primary

Addresses

Primary practice location

21 Franciscan Way
Garrison, NY 10524-0150

Mailing address

PO Box 150
RT 9 Graymoor
Garrison, NY 10524-0150
Phone (845) 335-1000

Other identifiers 1

IdentifierTypeStateIssuer
01638375MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2149310St Christopher's Inn21 Franciscan Way - RMS 1-B3 and B-BL, Garrison, NY 10524Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

21 Franciscan Way
#9
Garrison, NY 10524
Phone (845) 335-1000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0a1d8e09-c5b6-42c3-8311-cf5af3665cbe/

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1093731069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "address_2": "RT 9 GRAYMOOR",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105240150",
            "telephone_number": "845-335-1000",
            "fax_number": "845-335-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FRANCISCAN WAY",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105240150",
            "telephone_number": "845-335-1000",
            "fax_number": "845-335-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.CHRISTOPHER'S INN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "CAMPIONE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "845-335-1006"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "3953200R",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "02125430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01638375",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.