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
Practitioners 2
-
Paul Zando, PT, DPT
National Provider Directory
Locations
28 W Main St
Johnstown, NY 12095
Phone (518) 762-8215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00877385 | Medicaid | NY |
NPI Registry JSON
{
"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
- Cindy Christman
- City of Johnstown
- Shannon Jane Colt
- Community Health Center
- Community Health Center
- Community Health Center of St. Mary'S Healthcare & Nathan Littauer Hos
- Community Health Center of St. Mary'S Hospital and Nathan Littauer Hos
- Sandtana Cool
- Alyssa Erin Coppola
- Betina G Courtens
All providers in Johnstown, NY · Home Health Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.