Little Falls Hospital
Organization Active NPI Family Medicine Physician · Little Falls, NY
NPI 1467593202 · NPPES record last updated May 7, 2008
Key facts
- NPI
- 1467593202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 211649 (NY)
- Legal business name
- LITTLE FALLS HOSPITAL
- Practice address
- 140 Burwell St
Little Falls, NY 13365-1725 - Phone
- (315) 823-5281
- Fax
- (315) 823-5383
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. James Vielkind
- Title
- Chief Financial Officer
- Phone
- (315) 823-5281
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 7
Practitioners 34
-
Katherine A Baker, RPA-C
-
Adnan Cemer, M.D.
-
Crystal Reba Ferguson, FNP-BC
-
Danielle Gibbs, RN, BC FNP
-
Amy Grace, MD
-
William Martin McCue, FNP
-
Jessica D Miller, FNP
-
Valerie Yager, ANP
-
Virginia Clive, ANP
-
Charlene J Macri, NURSE PRACTITIONER
-
James Allen Martin, RPAC,ARNP
-
Kenneth D Riley, D.O.
-
Kathleen Ann Dibble, FNP, PMHNP
-
Jill A. Robinholt, PA-C
-
Brian W Hall, R.P.A.
-
Lawrence Laifer, M.D.
-
Carlos A Cowley, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Little Falls Hospital |
Rural health clinic | Operational/Managerial Control (100%) | Oct 4, 1993 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040706000770 | NY | Part B Supplier - Clinic/Group Practice | 3678550837 |
Receives reassigned benefits from 24 practitioners Practice locations: Little Falls, NY; West Winfield, NY; St Johnsville, NY; Richfield Springs, NY; Newport, NY; Dolgeville, NY; Canajoharie, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 211649 | NY | Yes |
| Family Medicine Physician |
207Q00000X | 219951 | NY | |
| Adult Medicine Physician |
207QA0505X | 122476 | NY | |
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | 170400 | NY | |
| Surgery Physician |
208600000X | 122476 | NY | |
| Family Nurse Practitioner |
363LF0000X | F331459 | NY |
Addresses
Primary practice location
140 Burwell St
Little Falls, NY 13365-1725
Mailing address
140 Burwell St
Little Falls, NY 13365-1725
Phone (315) 823-5281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00310870 | Medicaid | NY |
Other providers in Little Falls, NY
- Kress Physical Therapy, PLLC
- Laurie J Kwasnik
- Little Falls City School District
- Little Falls Dental PC
- Little Falls Hospital
- Little Falls Hospital
- Little Falls Hospital
- Little Falls Hospital
- Little Falls Hospital SNF
- Meghan Katherine Luft
All providers in Little Falls, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.