Active NPI
Claxton-Hepburn Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Ogdensburg, NY
National Provider Identifier
1396805073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 4401000H
- Legal business name
- CLAXTON-HEPBURN MEDICAL CENTER
- Practice address
- 214 King St
Ogdensburg, NY 13669-1142 - Phone
- (315) 393-8880
- Fax
- (315) 393-7250
- NPI assigned
- Dec 11, 2006
- Organization subpart
- Yes
- Parent organization
- CLAXTON HEPBURN MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sarah Miller
- Title
- Director of Treasury
- Phone
- (315) 519-5704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 4401000H | NY | Primary |
Addresses
Primary practice location
214 King St
Ogdensburg, NY 13669-1142
Mailing address
214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-8880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00354072 | Medicaid | NY | |
| 02966874 | Medicaid | NY |
National Provider Directory
National Provider Directory- Part of
- Claxton Hepburn Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1396805073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 KING ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691142",
"telephone_number": "315-393-8880",
"fax_number": "319-393-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 KING ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136691142",
"telephone_number": "315-393-8880",
"fax_number": "315-393-7250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAXTON-HEPBURN MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLAXTON HEPBURN MEDICAL CENTER",
"enumeration_date": "2006-12-11",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "DIRECTOR OF TREASURY",
"authorized_official_telephone_number": "315-519-5704",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "NY",
"license": "4401000H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00354072",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02966874",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.