NPIMap

Organization Active NPI

Arnot Ogden Medical Center

  • Psychiatric Hospital Unit
  • Elmira, NY
National Provider Identifier
1326079666
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0701001H Issued in NY
Legal business name
ARNOT OGDEN MEDICAL CENTER
Practice address
555 Saint Josephs Blvd
Elmira, NY 14901-3223
Phone
(607) 733-6541
Fax
(607) 737-2624
NPI assigned
Jul 5, 2006
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Mr. Jonathan I. Lawrence
Title
President & Chief Executive Officer
Phone
(607) 737-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0701001H NY Primary

Addresses

Primary practice location

555 Saint Josephs Blvd
Elmira, NY 14901-3223

Mailing address

555 Saint Josephs Blvd
Elmira, NY 14901-3223
Phone (607) 733-6541

Other names 1

  • St. Joseph's Psychiatric Unit Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190516000033 NY Part A Provider - Hospital 5395798417 Practice locations: Elmira, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326079666. Details of each certification follow.

Hospital certification: CCN 33S090

Legal name
ARNOT OGDEN MEDICAL CENTER
Organization structure
OtherNon-profit
Incorporated
Apr 10, 1888 in NY
Enrollment address
555 Saint Josephs Blvd
Elmira, NY 14901-3223
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Arnot Ogden Medical Cen9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Krista Niles-Updyke Individual Corporate DirectorBoard Member May 24, 2021 6.7%
Jeffrey W. Evenson Individual Corporate DirectorBoard Member Sep 24, 2018 6.7%
Ronette Wiley Individual Corporate OfficerChief Operating Officer Aug 6, 2021
W-2 Managing EmployeeChief Operating Officer Aug 6, 2021
Jeff B Streeter Individual Corporate DirectorBoard Member Jun 26, 2017 6.7%
Andrea Ogunwumi Individual Corporate DirectorBoard Member May 24, 2021 6.7%
Arie Van Den Blink Individual Corporate DirectorBoard Member Jun 22, 2015 6.7%
Richard R Terry Individual Corporate DirectorBoard Member Mar 1, 2023 6.67%
Jonathan I Lawrence Individual Corporate OfficerPresident & Ceo Jul 1, 2018 6.7%
Corporate DirectorBoard Member Apr 24, 2017 6.7%
W-2 Managing EmployeePresident & Ceo Apr 24, 2017 6.7%
Arnot Health Inc Organization, Elmira, NY Non-profit Operational/Managerial Control Jan 1, 2012 100%
Richard L Simons Individual Corporate DirectorBoard Member Jun 22, 2015 6.7%
John Mallia Individual Contracted Managing EmployeeChief Financial Officer Sep 22, 2022
Corporate OfficerChief Financial Officer Sep 22, 2022
Anders M Tomson Individual Corporate DirectorBoard Member Jun 26, 2017 6.7%
Jeremy L Lux Individual Corporate DirectorBoard Member Jan 1, 2021 6.7%
James Bohan Individual Corporate DirectorBoard Member Jan 31, 2024 6.67%
Werner K Brammer Individual Corporate DirectorBoard Member Jan 1, 2024 6.67%
Joyce a. Carr Individual Corporate DirectorBoard Member May 27, 2019 6.7%
Donald G Quick Individual Corporate DirectorBoard Member Sep 1, 2011 6.7%
John Macmahon Individual Corporate DirectorBoard Member Sep 24, 2018 6.7%

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Ira Davenport Memorial Hospital, Inc.Bath, NY, CCN 330800 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
Ira Davenport Memorial Hospital, Inc.Bath, NY, CCN 335706 Skilled nursing facility Operational/Managerial Control Jan 1, 2010

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1326079666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SAINT JOSEPHS BLVD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013223",
            "telephone_number": "607-733-6541",
            "fax_number": "607-737-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SAINT JOSEPHS BLVD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013223",
            "telephone_number": "607-733-6541",
            "fax_number": "607-737-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOT OGDEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "607-737-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "0701001H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph's Psychiatric Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.