Organization Active NPI

Hospice of Jefferson County, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Watertown, NY
National Provider Identifier
1477190809
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
HOSPICE OF JEFFERSON COUNTY, INC.
Practice address
531 Washington St Ste 1100
Watertown, NY 13601-4037
Phone
(315) 755-6086
Fax
(315) 755-6092
NPI assigned
Dec 4, 2019
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPICE OF JEFFERSON COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Frances Lyn Sourwine
Title
Director of Finance
Phone
(315) 788-7323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

531 Washington St Ste 1100
Watertown, NY 13601-4037

Mailing address

1398 Gotham St
Watertown, NY 13601-9704
Phone (315) 788-7323

National Provider Directory

National Provider Directory
Part of
Hospice of Jefferson County Inc

Locations

1398 Gotham St
Watertown, NY 13601
Phone (315) 788-7323

531 Washington St
Ste 1100
Watertown, NY 13601
Phone (315) 755-6086

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1477190809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 GOTHAM ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019704",
            "telephone_number": "315-788-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WASHINGTON ST STE 1100",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014037",
            "telephone_number": "315-755-6086",
            "fax_number": "315-755-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF JEFFERSON COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE OF JEFFERSON COUNTY, INC.",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "SOURWINE",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "315-788-7323"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.