Organization Active NPI

St James Mercy Hospital

  • Chronic Disease Hospital
  • Hornell, NY
National Provider Identifier
1104893320
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
5002001H Issued in NY
Legal business name
ST JAMES MERCY HOSPITAL
Practice address
1 Bethesda Dr
Hornell, NY 14843-1048
Phone
(607) 324-8000
Fax
(607) 324-8198
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Mrs. Jennifer Sullivan
Title
Sr VP/Chief Financial Officer
Phone
(607) 324-8113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 5002001H NY Primary

Addresses

Primary practice location

1 Bethesda Dr
Hornell, NY 14843-1048

Mailing address

411 Canisteo St
Hornell, NY 14843-2104
Phone (607) 324-8000

Other identifiers 1

IdentifierTypeStateIssuer
00363162MedicaidNY

National Provider Directory

National Provider Directory

Locations

4091 Bath St
Cameron, NY 14819
Phone (607) 695-2666

7309 Seneca Rd N
Ste 113
Hornell, NY 14843
Phone (607) 385-3900

7329 Seneca Rd N
#2
Hornell, NY 14843

7320 Seneca Rd N
Hornell, NY 14843

7309 Seneca Rd N
Ste 500
Hornell, NY 14843

7329 Seneca Rd N
Ste 109
Hornell, NY 14843

7309 Seneca Rd N
Ste 107
Hornell, NY 14843
Phone (607) 385-3740

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
Fl 1
Hornell, NY 14843

7329 Seneca Rd N
Rochester, NY 14642

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1104893320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CANISTEO ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432104",
            "telephone_number": "607-324-8000",
            "fax_number": "607-324-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHESDA DR",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431048",
            "telephone_number": "607-324-8000",
            "fax_number": "607-324-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "607-324-8113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "NY",
            "license": "5002001H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00363162",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.