Organization Active NPI

Alice Hyde Medical Center

  • Rural Acute Care Hospital
  • Malone, NY
National Provider Identifier
1578627865
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
1624000H Issued in NY
Legal business name
ALICE HYDE MEDICAL CENTER
Practice address
133 Park St
Malone, NY 12953-1243
Phone
(518) 481-2212
NPI assigned
Dec 20, 2006
Last updated
May 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Sandra M Macdonald
Title
Controller
Phone
(518) 481-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 1624000H NY Primary

Addresses

Primary practice location

133 Park St
Malone, NY 12953-1243

Mailing address

133 Park St
Malone, NY 12953-1220
Phone (518) 481-2212

Other identifiers 1

IdentifierTypeStateIssuer
00354114MedicaidNY

Other names 1

  • Alice Hyde Dialysis Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1578627865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531220",
            "telephone_number": "518-481-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531243",
            "telephone_number": "518-481-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE HYDE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "518-481-2212"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NY",
            "license": "1624000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alice Hyde Dialysis Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.