Community Health Center of St. Mary'S Healthcare & Nathan Littauer Hos

Organization Active NPI Home Health Agency · Johnstown, NY

NPI 1255497293 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1255497293
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
1758901L (NY)
Legal business name
COMMUNITY HEALTH CENTER OF ST. MARY'S HEALTHCARE & NATHAN LITTAUER HOS
Practice address
2-8 W Main St
Johnstown, NY 12095-2308
Phone
(518) 762-8215
NPI assigned
Dec 27, 2006
Organization subpart
No

Authorized official

Name
Mrs. Mildred P Ferriter
Title
Ceo
Phone
(518) 762-8215

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

28 W Main St
Johnstown, NY 12095
Phone (518) 762-8215

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1758901L NY Yes

Addresses

Primary practice location

2-8 W Main St
Johnstown, NY 12095-2308

Mailing address

2-8 W Main St
Johnstown, NY 12095-2308

Other identifiers

IdentifierTypeStateIssuer
00877385MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2018.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1255497293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-8 W MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-8 W MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952308",
            "telephone_number": "518-762-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF ST. MARY'S HEALTHCARE & NATHAN LITTAUER HOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FERRITER",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-762-8215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1758901L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00877385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

All providers in Johnstown, NY · Home Health Agency in New York

Sources for this page

Verify at the official NPI Registry.