NPIMap

Organization Active NPI

Soldiers & Sailors Memorial Hospital

Doing business as Soldiers & Sailors Hospital Psych

  • Psychiatric Hospital Unit
  • Penn Yan, NY
National Provider Identifier
1285777086
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Doing business as
Soldiers & Sailors Hospital Psych
Practice address
418 N Main St
Penn Yan, NY 14527-1070
Phone
(315) 787-4150
Fax
(315) 787-4794
NPI assigned
Feb 14, 2007
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SOLDIERS & SAILORS MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Ms. Pamela E Johnson
Title
Treasurer & Cfo
Phone
(315) 787-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

418 N Main St
Penn Yan, NY 14527-1070

Mailing address

196 North St
Geneva, NY 14456-1651
Phone (315) 787-4150

Other identifiers 4

IdentifierTypeStateIssuer
106134EUOtherNYPREFERRED CARE
00336498MedicaidNY
XWOtherNYBLUE CROSS
0120050XWOtherNYBLUE CHOICE

Other names 1

  • SOLDIERS & SAILORS HOSPITAL PSYCH Doing business as

National Provider Directory

National Provider Directory
Part of
Soldiers and Sailors Me

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1285777086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561651",
            "telephone_number": "315-787-4150",
            "fax_number": "315-787-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271070",
            "telephone_number": "315-787-4150",
            "fax_number": "315-787-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLDIERS & SAILORS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLDIERS & SAILORS MEMORIAL HOSPITAL",
        "enumeration_date": "2007-02-14",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREASURER & CFO",
        "authorized_official_telephone_number": "315-787-4030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "106134EU",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00336498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "XW",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "0120050XW",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOLDIERS & SAILORS HOSPITAL PSYCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Penn Yan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.