St. Joseph's Kidney Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ST. JOSEPH'S KIDNEY CENTER

Practice address

200 Madison Ave Ste 1B
Elmira, NY 14901-3219

Phone

(607) 733-6541

Fax

(607) 737-2624

NPI assigned

Jul 11, 2006

Organization subpart

Yes

Parent organization

ST. JOSEPH'S HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Donald J Vangorder

Title

Director of Patient Financial Servi

Phone

(607) 733-6541

Specialties & licenses 1

Addresses

Part of

Diane I Legendre MD

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Joseph's Hospital

  • Community Health Clinic/Center
  • Elmira, NY
  • NPI 1770069536
  NPPES parent name

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1437183589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E MARKET ST",
            "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": "200 MADISON AVE STE 1B",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013219",
            "telephone_number": "607-733-6541",
            "fax_number": "607-737-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S KIDNEY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOSEPH'S HOSPITAL",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "VANGORDER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT FINANCIAL SERVI",
        "authorized_official_telephone_number": "607-733-6541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Spenciner, LCSW
• Seth J Spicer, DO
• Lisa Squier, LCSW
• St. Joseph's Hospital
• St. Joseph's Hospital/ Arnot Health
• St. Josephs Hospital
• Barbara Stager
• Katrina Stanton
• State of New York Comptrollers Office
• State of New York Office of State Comptroller (Elmira Pharmacy)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Elmira, NY
• Providers in Elmira, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.