NPIMap

Organization Active NPI

Wyoming County

  • Rural Acute Care Hospital
  • Warsaw, NY
National Provider Identifier
1316924913
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
6027000H Issued in NY
Legal business name
WYOMING COUNTY
Practice address
400 N Main St
Warsaw, NY 14569-1025
Phone
(585) 786-2233
Fax
(585) 786-1222
NPI assigned
Dec 27, 2005
Last updated
Apr 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Mr. Michael A. Corcimiglia
Title
Coo
Phone
(585) 786-8940

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Rural Acute Care Hospital 282NR1301X 6027000H NY Primary

Addresses

Primary practice location

400 N Main St
Warsaw, NY 14569-1025

Mailing address

400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-2233

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Warsaw Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20040929001076 NY Part B Supplier - Clinic/Group Practice 9335118967 Receives reassigned benefits from 89 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arcade, NY; Attica, NY; Perry, NY; Silver Springs, NY; Warsaw, NY
O20201124002505 NY Part A Provider - Rural Health Clinic 9335118967 Practice locations: Warsaw, NY
O20210805003322 NY Part A Provider - Rural Health Clinic 9335118967 Practice locations: Perry, NY
O20210917000765 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 9335118967 Practice locations: Mount Morris, NY
O20211026003422 NY Part A Provider - Rural Health Clinic 9335118967 Practice locations: Arcade, NY
O20231108001079 NY Part A Provider - Critical Access Hospital 9335118967 Receives reassigned benefits from 1 practitioner
Practice locations: Warsaw, NY
O20240529001015 NY Part A Provider - Critical Access Hospital 9335118967 Practice locations: Warsaw, NY
O20240529001431 NY Part A Provider - Critical Access Hospital 9335118967 Practice locations: Warsaw, NY

NPI to CCN mapping 6

The Medicare certification numbers (CCNs) connected to NPI 1316924913. Details of each certification follow.

Rural health clinic certification: CCN 333413

Legal name
WYOMING COUNTY
Doing business as
HEALTHCARE SOLUTIONS WNY , LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 22, 2021
Last certification
Feb 22, 2024
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
34 Duncan St
Ste B
Warsaw, NY 14569-1017
Related CCNs
330008

Rural health clinic certification: CCN 338502

Legal name
WYOMING COUNTY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 7, 2022
Last certification
May 27, 2025
Ownership / control type
2B
Organization structure
OtherNon-profit
Incorporated
Nov 14, 2005 in NY
Enrollment address
1 Parker LN
Perry, NY 14530-9703
Related CCNs
331323

Rural health clinic certification: CCN 333422

Legal name
WYOMING COUNTY
Doing business as
WYOMING COUNTY FAMILY MEDICINE ARCADE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 14, 2023
Last certification
Aug 14, 2023
Ownership / control type
2B
Organization structure
OtherNon-profit
Incorporated
Nov 14, 2005 in NY
Enrollment address
401 Main St
Arcade, NY 14009-1113
Related CCNs
330008

Hospital certification: CCN 331323

Legal name
WYOMING COUNTY
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 16, 2024
Last certification
May 16, 2024
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
400 N Main St
Warsaw, NY 14569-1025
Main/Primary Hospital Location

Hospital certification: CCN 33Z323

Legal name
WYOMING COUNTY
Organization structure
OtherNon-profit
Enrollment address
400 N Main St
Warsaw, NY 14569-1025
Hospital Swing-Bed Unit

Hospital certification: CCN 33M323

Legal name
WYOMING COUNTY
Organization structure
OtherNon-profit
Enrollment address
400 N Main St
Warsaw, NY 14569-1025
Hospital Psychiatric Unit

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Wyoming CountyCCN 331323 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0938966Wyoming County Internal Medicine34 Duncan St, Warsaw, NY 14569Certificate of waiverMar 26, 2027
33D2193429Wyoming County Family Medicine - Perry1 Parker Lane, Perry, NY 14530Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

401 Main St
Arcade, NY 14009
Phone (585) 492-5088

35 Main St
Attica, NY 14011
Phone (585) 591-2186

5362 Mungers Mill Rd
#A
Silver Springs, NY 14550
Phone 5857868890104

34 Duncan St
#B
Warsaw, NY 14569
Phone 58578622904945

410N Main St
Warsaw, NY 14569
Phone (585) 786-2233

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David a Kobis Individual Corporate OfficerCeo May 31, 2022
W-2 Managing EmployeeCeo May 31, 2022
Mark J Wright Individual Corporate OfficerCfo Jun 6, 2022
Corporate OfficerChief Financial Officer Jun 6, 2022 25%
Operational/Managerial ControlCfo Jun 6, 2022
Dawn Bayliss Individual W-2 Managing EmployeeCoo Jul 14, 2022
W-2 Managing EmployeeCoo Jul 17, 2022
Wyoming County Organization, Warsaw, NY Operational/Managerial Control May 31, 2022
5% Or Greater Direct Ownership Interest Nov 4, 2005 100%
Operational/Managerial Control Jan 1, 2020 100%
5% Or Greater Direct Ownership Interest Jan 1, 2020 100%
Jeffery R Perry Individual Corporate OfficerChief Executive Officer Jan 1, 2025 50%
W-2 Managing EmployeeAd; Jan 1, 2025 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Wyoming County
    • Internal Medicine Physician
    • Warsaw, NY
    • NPI 1184030017

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wyoming County

    dba Wyoming County Community Hospital SNF

    • Skilled Nursing Facility
    • Warsaw, NY
    • NPI 1194702506

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wyoming County
    • Emergency Medicine Physician
    • Warsaw, NY
    • NPI 1407060759

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Wyoming County
    • Land Ambulance
    • Warsaw, NY
    • NPI 1467101402

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Med TempsWarsaw, NY, CCN 335034 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jan 1, 1967
Jan 1, 1967

Owned or controlled facilities with NPI records 1

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

  • Wyoming County

    dba Wyoming County Community Hospital SNF

    • Skilled Nursing Facility
    • Warsaw, NY
    • NPI 1194702506

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Wyoming County

    dba Wyoming County Community Hospital SNF

    • Skilled Nursing Facility
    • Warsaw, NY
    • NPI 1194702506

    Wyoming County

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 90

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.

View all 90

Affiliated clinicians 135

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 135

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1316924913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691025",
            "telephone_number": "585-786-2233",
            "fax_number": "585-786-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691025",
            "telephone_number": "585-786-2233",
            "fax_number": "585-786-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "CORCIMIGLIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "585-786-8940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NY",
            "license": "6027000H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Warsaw",
            "affiliation": "N",
            "endpointDescription": "Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 N Main St",
            "city": "Warsaw",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145691025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warsaw, NY

Sources for this page

Verify at the official NPI Registry.