NPIMap

Organization Active NPI

Mary Imogene Bassett Hospital

Doing business as Bassett Medical Center

  • Community/Retail Pharmacy
  • Cooperstown, NY
National Provider Identifier
1295762128
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MARY IMOGENE BASSETT HOSPITAL
Doing business as
Bassett Medical Center
Practice address
1 Atwell Rd
Cooperstown, NY 13326
Phone
(607) 547-6681
Fax
(607) 547-6330
NPI assigned
Jun 27, 2006
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Michele Ann TaurisanoNPI 1134398399
Title
Outpatient Pharmacy Manager
Phone
(607) 547-6527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1 Atwell Rd
Cooperstown, NY 13326

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-6681

Other identifiers 1

IdentifierTypeStateIssuer
01346501MedicaidNY

Other names 1

  • Bassett Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180726001622 NY Part B Supplier - Pharmacy 3779488325 1 other NPI on this enrollment
Practice locations: Cooperstown, NY; Delhi, NY

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mary Imogene Bassett Hosp38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Little Falls HospitalLittle Falls, NY, CCN 33Z311 Hospital Operational/Managerial Control Oct 1, 2004
Little Falls HospitalLittle Falls, NY, CCN 331311 Hospital Operational/Managerial Control Oct 1, 2004
O'Connor HospitalDelhi, NY, CCN 331305 Hospital Operational/Managerial Control (100%) Jun 11, 2019
O'Connor HospitalDelhi, NY, CCN 33Z305 Hospital Operational/Managerial Control Jun 11, 2019
At Home Care IncorporatedOneonta, NY, CCN 337233 Home health agency 5% Or Greater Direct Ownership Interest (50%) Jan 1, 1987
Little Falls HospitalDolgeville, NY, CCN 333984 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls HospitalLittle Falls, NY, CCN 333992 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls Hospital Richfield Springs Health CenterRichfield Springs, NY, CCN 333995 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls Hospital West Winfield Health CenterWest Winfield, NY, CCN 333996 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls HospitalSt Johnsville, NY, CCN 333993 Rural health clinic Operational/Managerial Control Oct 1, 2004

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1295762128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-6681",
            "fax_number": "607-547-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "13326",
            "telephone_number": "607-547-6681",
            "fax_number": "607-547-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMOGENE BASSETT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "TAURISANO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OUTPATIENT PHARMACY MANAGER",
        "authorized_official_telephone_number": "607-547-6527"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bassett Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooperstown, NY

Sources for this page

Verify at the official NPI Registry.