NPIMap

Organization Active NPI

Chenango Memorial Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Norwich, NY
National Provider Identifier
1225049372
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0824000H Issued in NY
Legal business name
CHENANGO MEMORIAL HOSPITAL, INC
Practice address
179 N Broad St
Norwich, NY 13815-1019
Phone
(607) 337-4111
NPI assigned
Aug 11, 2006
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Dr. Drake Lamen, M.D.NPI 1356488712
Title
President & Ceo
Phone
(607) 337-4113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0824000H NY Primary

Addresses

Primary practice location

179 N Broad St
Norwich, NY 13815-1019

Mailing address

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111

Other identifiers 1

IdentifierTypeStateIssuer
330033OtherNYMEDICARE ID

Other names 1

  • SWING Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000911 NY Part B Supplier - Clinic/Group Practice 7517853633 Receives reassigned benefits from 216 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norwich, NY; Oxford, NY; Sherburne, NY; Sidney, NY; Syracuse, NY; Vestal, NY; Baldwinsville, NY; Apalachin, NY…
O20240201002514 NY Part A Provider - Hospital 7517853633 Practice locations: Norwich, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225049372. Details of each certification follow.

Hospital certification: CCN 33U033

Legal name
CHENANGO MEMORIAL HOSPITAL INC
Organization structure
CorporationNon-profit
Enrollment address
179 N Broad St
Norwich, NY 13815-1019
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kurt R Harding Individual Corporate Director Jun 3, 2024
Eric Larsen Individual Corporate Director Jun 1, 2015
Rohan S Jayasena Individual Corporate Director Aug 4, 2025
James Mark Smith Individual Corporate Director Jan 1, 2022
Shaunastar Hyle Individual Corporate Director Jan 1, 2022
John M Carrigg Individual Corporate Director Jun 1, 2015
Barbara Schindler Individual Corporate Director Apr 1, 2024
Cecil M Miller Individual Corporate Officer Apr 21, 2025
Operational/Managerial Control Apr 21, 2025
Joseph R Stagliano Individual Corporate Director Jun 4, 2019
Elizabeth K Boland Individual Corporate Director Jan 1, 2008
Julianne a. Oehlbeck Individual Corporate Director Jun 4, 2019
Bruce Erath Individual Corporate Director Jun 1, 2015
Luke Hess-Murphy Individual Corporate Director Jun 5, 2023
Robert Nassar Individual Corporate Director Jun 1, 2015
Martin C Masarech Individual Corporate Director Jun 4, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1225049372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 N BROAD ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151019",
            "telephone_number": "607-337-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N BROAD ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151019",
            "telephone_number": "607-337-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENANGO MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-01-04",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "LAMEN",
        "authorized_official_first_name": "DRAKE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "607-337-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NY",
            "license": "0824000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "330033",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWING",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SWING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.