Organization Active NPI

Nicholas H. Noyes Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Dansville, NY
National Provider Identifier
1386868289
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
252700H Issued in NY
Legal business name
NICHOLAS H. NOYES MEMORIAL HOSPITAL
Practice address
111 Clara Barton St
Dansville, NY 14437
Phone
(585) 335-6001
Fax
(585) 335-4282
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Mark Prunoske
Title
Cfo
Phone
(585) 335-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 252700H NY Primary

Addresses

Primary practice location

111 Clara Barton St
Dansville, NY 14437

Mailing address

111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-6001

Other identifiers 4

IdentifierTypeStateIssuer
012006208OtherNMBLUE CHOICE
108265CFOtherNYPREFERRED CARE
08OtherNYBLUE CROSS
00354476MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1386868289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLARA BARTON ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379503",
            "telephone_number": "585-335-6001",
            "fax_number": "585-335-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLARA BARTON ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "14437",
            "telephone_number": "585-335-6001",
            "fax_number": "585-335-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS H. NOYES MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "PRUNOSKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-335-6001"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NY",
            "license": "252700H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "012006208",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "108265CF",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dansville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.