Nathan Littauer Hospital Association
Organization Active NPI Pharmacy · Gloversville, NY
NPI 1285706655 · NPPES record last updated Dec 5, 2017
Key facts
- NPI
- 1285706655
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 013094 (NY)
- Legal business name
- NATHAN LITTAUER HOSPITAL ASSOCIATION
- Practice address
- 99 E State St
Gloversville, NY 12078-1203 - Phone
- (518) 773-5583
- Fax
- (518) 773-5749
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David J Schaff, RPH
- Title
- Chief Pharmacist
- Phone
- (518) 773-5583
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Member organizations 2
Affiliated clinicians 275
-
Lusana Ahsan, M.D.
-
Samuel Anameze, MD
-
Crystal M Baker, RPA-C
-
Kristen M Baker, NURSE PRACTITIONER
-
Sarah K Beyer, PA
-
Robert A Bielawa, PA
-
Trevor Edward Black, M.D.
-
Stephanie J. Bull, RPA
-
Nancy Alexandra Caffrey, PA-C
-
Cara Lynn Cahill, NP
-
Kevin C Calyer, RPA
-
Anne Catherine Campbell, RN, FNP
-
David F Cann, CRNA
Medicare Care Compare: Hospital
- Listed as
- Nathan Littauer Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Hospital certification: CCN 330276
- Legal name
- NATHAN LITTAUER HOSPITAL ASSOCIATION
- Doing business as
- NATHAN LITTAUER HOSPITAL AND NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 26, 2023
- Beds
- 74
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 1, 1894 in NY
- Enrollment address
- 99 E State St
Gloversville, NY 12078-1203 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Sean M Fadale |
Corporate Officer |
Oct 5, 2020 | |
| Corporate Director |
Oct 5, 2020 | ||
| W-2 Managing Employee |
Oct 5, 2020 | 100% | |
| Stephen Tomlinson |
Corporate Director |
Jan 1, 2018 | |
| Michael Redcross |
W-2 Managing Employee |
Jan 13, 2013 | |
| Gregory Truckenmiller |
Corporate Director |
Jan 1, 2013 | |
| Polly Hoye |
Corporate Director |
Jan 1, 2023 | |
| Susan Johnson |
Corporate Director |
Jan 1, 2012 | |
| Holly Chamberlin |
Corporate Director |
Jan 1, 2012 | |
| Peter Kiernan |
Corporate Director | Jan 1, 2023 | |
| Michael Ostrander |
Corporate Officer |
Dec 31, 2012 | |
| Audrey Kline |
Corporate Director | Jan 1, 2023 | |
| Amy Pedrick |
Corporate Director |
Jan 1, 2018 | |
| Paul Naslund |
Corporate Director | Jan 1, 2023 | |
| Ryan Jeremiah |
Corporate Director |
Jan 1, 2018 | |
| John M Fox |
Corporate Director |
Jan 1, 2018 | |
| Tobin L Cash |
Corporate Director |
Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101209000504 | NY | Part a Provider - Hospital | 4183618101 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Johnstown, NY; Speculator, NY; Mayfield, NY; Gloversville, NY; Fonda, NY; Caroga Lake, NY; Broadalbin, NY; Amsterdam, NY |
National Provider Directory
- Tax ID family
- Nathan Littauer Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 013094 | NY | Yes |
Addresses
Primary practice location
99 E State St
Gloversville, NY 12078-1203
Mailing address
99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5583
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313924 | Medicaid | NY |
Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.