Active NPI
Massena Hospital Inc
- Rural Health Clinic/Center
- Massena, NY
National Provider Identifier
1114632759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MASSENA HOSPITAL INC
- Practice address
- 181 Maple St
Massena, NY 13662-1012 - Phone
- (315) 842-3095
- NPI assigned
- Jan 18, 2023
- Last updated
- Jan 18, 2023
- Organization subpart
- Yes
- Parent organization
- MASSENA HOSPITAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly J Cicchinelli
- Title
- SLH VP of Finance
- Phone
- (315) 261-5102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
181 Maple St
Massena, NY 13662-1012
Mailing address
50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 261-5150
Other practice location 1
181 Maple St
Massena, NY 13662-1012
Phone (315) 769-1667
National Provider Directory
National Provider Directory- Tax ID family
- Massena Hospital Inc
- Part of
- Massena Hospital Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Massena, NY
- NPI 1780301473
-
- Rural Health Clinic/Center
- Massena, NY
- NPI 1932825387
-
- Medicare Defined Swing Bed Hospital Unit
- Massena, NY
- NPI 1619756640
Locations
181 Maple St
Massena, NY 13662
Phone (315) 769-1667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1114632759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LEROY ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761786",
"telephone_number": "315-261-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 MAPLE ST",
"city": "MASSENA",
"state": "NY",
"postal_code": "136621012",
"telephone_number": "315-842-3095"
}
],
"practiceLocations": [
{
"address_1": "181 Maple St",
"address_purpose": "LOCATION",
"city": "Massena",
"state": "NY",
"postal_code": "136621012",
"country_code": "US",
"telephone_number": "315-769-1667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MASSENA HOSPITAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MASSENA HOSPITAL INC",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A",
"authorized_official_last_name": "CICCHINELLI",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SLH VP OF FINANCE",
"authorized_official_telephone_number": "315-261-5102"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.