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) 585-3855

Fax

(518) 585-3808

NPI assigned

Mar 6, 2007

Last updated

Jul 3, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MOSES LUDINGTON HOSPITALAs reported in NPPES

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

Authorized official

Name

Ms. Tammy J Smith

Title

Revenue Cycle Director

Phone

(518) 585-3784

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Interlakes Dental Clinic Other name

Part of

Moses Ludington Hospita

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1245360718",
    "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",
            "telephone_number": "518-585-3855",
            "fax_number": "518-585-3808"
        },
        {
            "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": "518-585-3855",
            "fax_number": "518-585-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES LUDINGTON HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOSES LUDINGTON HOSPITAL",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "518-585-3784",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02225730",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE NY",
            "identifier": "9175850",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interlakes Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard N McKeever, MD
• Robert Thomas McLaughlin, RPH
• Patricia M McLoughlin, NPP
• Nicholas J Montello, DNP FNP
• Michelle Cara Moore, DPT
• Moses Ludington Hospital Pharmacy
• Moses Ludington Nursing Home Company, Inc (Heritage Commons Residential Healthcare)
• Moses-Ludington Hospital (Inter-Lakes Health)
• Moses-Ludington Hospital
• Moses-Ludington Hospital

• 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 Jul 3, 2008; 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.