NPIMap

Organization Active NPI

Lewis County General Hospital

  • Rural Health Clinic/Center
  • Copenhagen, NY
National Provider Identifier
1235749979
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LEWIS COUNTY GENERAL HOSPITAL
Practice address
Copenhagen Health Center
9732 State Route 12
Copenhagen, NY 13626-1362
Phone
(315) 688-2305
NPI assigned
Aug 7, 2020
Last updated
Jul 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Authorized official

Name
Jeffery Hellinger
Title
Ceo
Phone
(315) 376-5597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

Copenhagen Health Center
9732 State Route 12
Copenhagen, NY 13626-1362

Mailing address

7785 N State St
Lowville, NY 13367-1297
Phone (315) 376-5200

Other identifiers 1

IdentifierTypeStateIssuer
03304574MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201026000942 NY Part A Provider - Rural Health Clinic 2668463779 Practice locations: Copenhagen, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235749979. Details of each certification follow.

Rural health clinic certification: CCN 333417

Legal name
LEWIS COUNTY GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 28, 2021
Last certification
Dec 15, 2023
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
9732 State Route 12
Copenhagen, NY 13626-2906
Related CCNs
331317

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

Other NPIs with the same Medicare PAC ID 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Lewis County Gen Hosp19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Howard T Meny Individual Corporate DirectorBoard Member Nov 1, 2020
Michael Young Individual Corporate DirectorBoard Member - President Oct 1, 2010
John Schwartz Individual Corporate DirectorBoard Member Jan 1, 2024
Philip E McDowell Individual Corporate DirectorBoard Member Dec 1, 2016
Lewis County General Hospital Organization, Lowville, NY Operational/Managerial Control Jan 1, 2021
Jeffrey H Hellinger Individual Corporate OfficerCfo Mar 1, 2013
W-2 Managing Employee Mar 1, 2013
Marguerite Mastascusa Individual Corporate DirectorBoard Member Nov 1, 2012
Jennifer Jones Individual Corporate DirectorBoard Member Jan 1, 2016
John V Lehman Individual Corporate DirectorBoard Member Jan 1, 2020
Vincent Nortz Individual Corporate DirectorBoard Member Jan 1, 2024
Donald Musnicki Individual Corporate DirectorBoard Member Jan 1, 2015
Susan J Ross Individual Corporate DirectorBoard Member Jul 1, 2018
Gerald Cayer Individual W-2 Managing EmployeeChief Executive Officer Jul 31, 2017

Owners & managing parties with NPI records 13

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

View all 13

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
LCGH Certified Home Health AgencyLowville, NY, CCN 337136 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Lewis County General HospitalLowville, NY, CCN 331540 Hospice Operational/Managerial Control (100%) Jan 1, 2013
Lewis County General HospitalLyons Falls, NY, CCN 333418 Rural health clinic Operational/Managerial Control May 1, 2021
Lewis County General HospitalBeaver Falls, NY, CCN 333985 Rural health clinic Operational/Managerial Control Jan 1, 2018

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1235749979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671297",
            "telephone_number": "315-376-5200",
            "fax_number": "315-376-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COPENHAGEN HEALTH CENTER",
            "address_2": "9732 STATE ROUTE 12",
            "city": "COPENHAGEN",
            "state": "NY",
            "postal_code": "136261362",
            "telephone_number": "315-688-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "HELLINGER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-376-5597"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03304574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Copenhagen, NY

Sources for this page

Verify at the official NPI Registry.