NPIMap

Organization Active NPI

Lewis County

Doing business as Lewis County General Hospital

  • Rural Acute Care Hospital
  • Lowville, NY
National Provider Identifier
1487689402
Registry record updated Feb 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
LEWIS COUNTY
Doing business as
Lewis County General Hospital
Practice address
7785 N State St
Lowville, NY 13367-1229
Phone
(315) 376-5200
NPI assigned
Jul 11, 2006
Last updated
Feb 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
THE COUNTY OF LEWISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2013

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

Authorized official

Name
Ms. Michele Prince
Title
Director of Ancillary Services
Phone
(315) 376-5246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X NU Primary

Addresses

Primary practice location

7785 N State St
Lowville, NY 13367-1229

Mailing address

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5200

Other identifiers 1

IdentifierTypeStateIssuer
00354370MedicaidNY

Other names 1

  • Lewis County General Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140108000904 NY Part A Provider - Critical Access Hospital 2668463779 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lowville, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487689402. Details of each certification follow.

Hospital certification: CCN 331317

Legal name
LEWIS COUNTY GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 5, 2014
Last certification
Jun 29, 2023
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Incorporated
Aug 4, 1931 in NY
Enrollment address
7785N State St
Lowville, NY 13367-1229

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Lewis County General HospitalCCN 331317 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Lewis County Gen Hosp

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Young Individual Corporate OfficerBoard Member Oct 1, 2010
Philip E McDowell Individual Corporate OfficerBoard Member Dec 1, 2016
Jeffrey H Hellinger Individual Corporate OfficerCfo Oct 18, 2016
W-2 Managing EmployeeCfo Oct 18, 2016
Operational/Managerial ControlCfo Oct 18, 2016
Marguerite Mastascusa Individual Corporate OfficerBoardmember Nov 1, 2012
Richard Chartrand Individual Corporate OfficerBoardmember Jan 1, 2014
Jennifer Jones Individual Corporate OfficerBoard Member Dec 31, 2015
John V Lehman Individual Corporate OfficerBoard Member Jan 1, 2020
Karen Rennie Individual Corporate DirectorBoard Member Jan 1, 2019
Donald Musnicki Individual Corporate OfficerBoard Member Jan 1, 2015
Kerry Herbine Individual Corporate OfficerCoo Jan 20, 2022
Operational/Managerial ControlCoo Jan 20, 2022
Susan J Ross Individual Corporate OfficerBoard Member Jul 1, 2018
Cheryl Steckly Individual Corporate OfficerBoard Member Jan 1, 2018

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

Affiliated clinicians 224

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 224

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360454400000",
    "number": "1487689402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5200",
            "fax_number": "315-376-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COUNTY OF LEWIS",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-02-10",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR OF ANCILLARY SERVICES",
        "authorized_official_telephone_number": "315-376-5246",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis County General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.