NPIMap

Organization Active NPI

Orleans Community Health

Doing business as Medina Memorial Hospital

  • Critical Access Hospital
  • Batavia, NY
National Provider Identifier
1366573131
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ORLEANS COMMUNITY HEALTH
Doing business as
Medina Memorial Hospital
Practice address
Main Street
East Town Plaza
Batavia, NY 14020-2741
Phone
(585) 798-2000
Fax
(585) 798-8107
NPI assigned
Mar 7, 2007
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ORLEANS COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Marc Shurtz
Title
Ceo
Phone
(585) 798-8101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 3622000H NY
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

Main Street
East Town Plaza
Batavia, NY 14020-2741

Mailing address

200 Ohio Street
Medina, NY 14103
Phone (585) 798-2000

Other names 1

  • Medina Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070703000020 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 7315857018 Practice locations: Batavia, NY

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Medina Memorial Hosp6 organizations share this tax ID, including this one
Part of
Medina Memorial Hosp

Other organizations with this tax ID 5

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

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1366573131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OHIO STREET",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "14103",
            "telephone_number": "585-798-2000",
            "fax_number": "585-798-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN STREET",
            "address_2": "EAST TOWN PLAZA",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202741",
            "telephone_number": "585-798-2000",
            "fax_number": "585-798-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLEANS COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORLEANS COMMUNITY HEALTH",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "585-798-8101"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "3622000H",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medina Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.