NPIMap

Organization Active NPI

Moses-Ludington Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ticonderoga, NY
National Provider Identifier
1316016447
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
1564701C Issued in NY
Legal business name
MOSES-LUDINGTON HOSPITAL
Practice address
1019 Wicker St
Ticonderoga, NY 12883
Phone
(518) 585-3700
Fax
(518) 585-3899
NPI assigned
Nov 6, 2006
Last updated
Jun 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MOSES LUDINGTON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Mr. William Holmes
Title
Ceo
Phone
(518) 585-3720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 1564701C NY Primary

Addresses

Primary practice location

1019 Wicker St
Ticonderoga, NY 12883

Mailing address

1019 Wicker St
Ticonderoga, NY 12883-1039
Phone (518) 585-3700

Other identifiers 5

IdentifierTypeStateIssuer
03002375MedicaidNY
330116OtherNYEXCELLUS BLUE CROSS
000400017000OtherNYBLUESHIELD NENY
00360930MedicaidNY
000932OtherNYBLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Med Ctr-Eeg12 organizations share this tax ID, including this one
Part of
Moses Ludington Hospita

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1316016447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 WICKER ST",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831039",
            "telephone_number": "518-585-3700",
            "fax_number": "518-585-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WICKER ST",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "12883",
            "telephone_number": "518-585-3700",
            "fax_number": "518-585-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES-LUDINGTON HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOSES LUDINGTON HOSPITAL",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-585-3720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NY",
            "license": "1564701C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03002375",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CROSS",
            "identifier": "330116",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD NENY",
            "identifier": "000400017000",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00360930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000932",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ticonderoga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.