NPIMap

Organization Active NPI

Mary Imogene Bassett Hospital

  • General Acute Care Hospital
  • Cooperstown, NY
National Provider Identifier
1093897910
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MARY IMOGENE BASSETT HOSPITAL
Practice address
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone
(607) 547-3931
Fax
(607) 547-6325
NPI assigned
Oct 19, 2006
Last updated
Sep 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Paul G Swinko
Title
Bassett Medical Center VP
Phone
(607) 547-3096

Specialties & licenses 1

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

Addresses

Primary practice location

1 Atwell Rd
Cooperstown, NY 13326-1301

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000009 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 3779488325 Practice locations: Cooperstown, NY

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Bassett Healthcare Delanson38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Little Falls HospitalLittle Falls, NY, CCN 33Z311 Hospital Operational/Managerial Control Oct 1, 2004
Little Falls HospitalLittle Falls, NY, CCN 331311 Hospital Operational/Managerial Control Oct 1, 2004
O'Connor HospitalDelhi, NY, CCN 331305 Hospital Operational/Managerial Control (100%) Jun 11, 2019
O'Connor HospitalDelhi, NY, CCN 33Z305 Hospital Operational/Managerial Control Jun 11, 2019
At Home Care IncorporatedOneonta, NY, CCN 337233 Home health agency 5% Or Greater Direct Ownership Interest (50%) Jan 1, 1987
Little Falls HospitalDolgeville, NY, CCN 333984 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls HospitalLittle Falls, NY, CCN 333992 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls Hospital Richfield Springs Health CenterRichfield Springs, NY, CCN 333995 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls Hospital West Winfield Health CenterWest Winfield, NY, CCN 333996 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls HospitalSt Johnsville, NY, CCN 333993 Rural health clinic Operational/Managerial Control Oct 1, 2004

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1093897910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3931",
            "fax_number": "607-547-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3931",
            "fax_number": "607-547-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMOGENE BASSETT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "SWINKO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BASSETT MEDICAL CENTER VP",
        "authorized_official_telephone_number": "607-547-3096"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooperstown, NY

Sources for this page

Verify at the official NPI Registry.