NPIMap

Organization Active NPI

Soldiers & Sailors Memorial Hospital of Yates County

Doing business as SCM

  • Critical Access Hospital
  • Penn Yan, NY
National Provider Identifier
1215205505
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY
Doing business as
SCM
Practice address
418 N Main St
Penn Yan, NY 14527-1085
Phone
(131) 578-7415
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Pat Thompson
Title
Cfo
Phone
(315) 787-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

418 N Main St
Penn Yan, NY 14527-1085

Mailing address

418 N Main St
Penn Yan, NY 14527-1085
Phone (131) 578-7415

Other identifiers 1

IdentifierTypeStateIssuer
02656944MedicaidNY

Other names 1

  • SCM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soldiers Sailors Memorial Hospital of Yates County2 organizations share this tax ID, including this one
Part of
Soldiers Sailors Memorial Hospital of Yates County

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1215205505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271085",
            "telephone_number": "131-578-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271085",
            "telephone_number": "131-578-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-787-4031"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02656944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Penn Yan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.