NPIMap

Organization Active NPI

Carthage Area Hospital Inc

  • Rural Health Clinic/Center
  • Beaver Falls, NY
National Provider Identifier
1518178409
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CARTHAGE AREA HOSPITAL INC
Practice address
9508 Artz Rd
Beaver Falls, NY 13305
Phone
(315) 346-3306
NPI assigned
May 24, 2007
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Richard Duvall
Title
Ceo
Phone
(315) 519-5201

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2238001H NY
Hearing and Speech Clinic/Center 261QH0700X 2238001H NY
Primary Care Clinic/Center 261QP2300X 2238001H NY
Rural Health Clinic/Center 261QR1300X NU Primary
Student Health Clinic/Center 261QS1000X 2238001H NY

Addresses

Primary practice location

9508 Artz Rd
Beaver Falls, NY 13305

Mailing address

1001 West St
Carthage, NY 13619-9703
Phone (315) 493-1000

Other identifiers 1

IdentifierTypeStateIssuer
03000699MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181220000546 NY Part A Provider - Rural Health Clinic 9931010485 Practice locations: Beaver Falls, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518178409. Details of each certification follow.

Rural health clinic certification: CCN 333988

Legal name
CARTHAGE AREA HOSPITAL INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 26, 2019
Last certification
Jul 17, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1965 in NY
Enrollment address
9508 Artz Road
Beaver Falls, NY 13305
Related CCNs
331318

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

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Carthage Area Hosp32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Dale Klock Individual Corporate Director May 1, 2010
Andrew R Manzer Individual Corporate OfficerInterim Ceo Mar 2, 2026
W-2 Managing EmployeeAd; Mar 2, 2026
Arnold R Hager Individual Corporate OfficerVP of Revenue Cycle Sep 1, 2025
Jerian O'Dell Individual Corporate OfficerCoo Apr 2, 2023
Mirza M Ashraf Individual Corporate Director May 1, 1992
Tim Sturick Individual Corporate Director May 1, 2016
Gary Rowe Individual Corporate Director May 1, 2007
Larry Hasseler Individual Corporate Director May 1, 2006

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1518178409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-493-1000",
            "fax_number": "315-493-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 ARTZ RD",
            "city": "BEAVER FALLS",
            "state": "NY",
            "postal_code": "13305",
            "telephone_number": "315-346-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE AREA HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-519-5201"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "2238001H",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "2238001H",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "2238001H",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NY",
            "license": "2238001H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03000699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, NY

Sources for this page

Verify at the official NPI Registry.