Garnet Health Medical Center

Organization Active NPI General Acute Care Hospital · Middletown, NY

NPI 1609875772 · NPPES record last updated May 29, 2020

Key facts

NPI
1609875772
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
3523000H (NY)
Legal business name
GARNET HEALTH MEDICAL CENTER
Practice address
707 East Main Street
Middletown, NY 10940
Phone
(845) 333-1000
NPI assigned
Jul 20, 2005
Organization subpart
No

Authorized official

Name
William Louis Scheuermann
Title
VP of Revenue Strategy
Phone
(845) 333-7458

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 5

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

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

Practitioners 115

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 115

Affiliated clinicians 860

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

View all 860

Medicare Care Compare: Hospital

Listed as
Garnet Health Medical Center CCN 330126
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Hospital certification: CCN 330126

Legal name
GARNET HEALTH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 24, 2008
Beds
450
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Dec 15, 1908 in NY
Enrollment address
707 E Main St
Middletown, NY 10940-2650
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric unit, Rehabilitation unit

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Edison Guzman
Individual
Corporate Officer
Secretary
Jan 1, 2018
Jonathan Rouis
Individual
Corporate Director
Board Member
Jan 1, 2018
Jill Embler
Individual
W-2 Managing Employee
Vice President
Jan 1, 2020
Yvonne Rosado
Individual
W-2 Managing Employee
Director PFS
Nov 1, 2018
Brian Tew
Individual
Corporate Officer
Ceo
Jan 1, 2020 100%
Andrew Pavloff
Individual
Corporate Director
Director
Jan 1, 2020
Susan Murray-Tetz
Individual
Corporate Director
Board Member
Jan 1, 2018
James P Grigg
Individual
Corporate Officer
Cfo
Nov 1, 2018
Rolland B Peacock
Individual
Corporate Director
Chair
Jan 1, 2018
Heidi Hahn-Schroeder
Individual
Corporate Director
Board Member
Jan 1, 2018
Don Beeler
Individual
Corporate Officer
Vice Chair
Jan 1, 2018

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081216000134 NY Part a Provider - Hospital 1456269828 Practice locations: Middletown, NY

National Provider Directory

Tax ID family
Arden Hill Hosp- Eeg (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3523000H NY Yes

Addresses

Primary practice location

707 East Main Street
Middletown, NY 10940

Mailing address

707 East Main Street
Middletown, NY 10940
Phone (845) 333-1000

Other names

  • Orange Regional Medical Center Former legal business name

Other providers in Middletown, NY

All providers in Middletown, NY · General Acute Care Hospital in New York

Sources for this page

Verify at the official NPI Registry.