Moses-Ludington Hospital

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

MOSES-LUDINGTON HOSPITAL

Practice address

1019 Wicker St
Ticonderoga, NY 12883-1039

Phone

(518) 585-3810

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Cara Mackness, P.T., D.P.T.

Title

Physical Therapist

Phone

(518) 585-3810

Specialties & licenses 1

Addresses

Tax ID family

Moses Ludington Hospita2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Moses Ludington Hospital Pharmacy

  • Critical Access Hospital
  • Ticonderoga, NY
  • NPI 1023182813
  NPD tax ID

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164584272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 WICKER ST",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WICKER ST",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831039",
            "telephone_number": "518-585-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES-LUDINGTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKNESS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CARA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "518-585-3810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T., D.P.T."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Cara Moore, DPT
• Moses Ludington Hospital
• Moses Ludington Hospital Pharmacy
• Moses Ludington Nursing Home Company, Inc (Heritage Commons Residential Healthcare)
• Moses-Ludington Hospital (Inter-Lakes Health)
• Moses-Ludington Hospital
• North Country Sports Medicine PLLC
• Northwoods Wellness Physical & Occupational Therapy, P.L.L.C
• Dennis S O'Brien, MD
• Optics LTD (Optics ltd of vermont)

• Critical Access Hospital in Ticonderoga, NY
• Providers in Ticonderoga, NY by specialty
• Critical Access Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.