Active NPI
Nicholas H. Noyes Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Dansville, NY
National Provider Identifier
1386868289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 252700H
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012006208 | Other | NM | BLUE CHOICE |
| 108265CF | Other | NY | PREFERRED CARE |
| 08 | Other | NY | BLUE CROSS |
| 00354476 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.