NPIMap

Organization Active NPI

Garnet Health Medical Center

  • General Acute Care Hospital
  • Middletown, NY
National Provider Identifier
1609875772
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3523000H Issued in 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
Last updated
May 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Orange Regional Medical Center Former legal business name

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609875772. Details of each certification follow.

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
CorporationNon-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

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Garnet Health Medical CenterCCN 330126 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Arden Hill Hosp- Eeg6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

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 OfficerSecretary Jan 1, 2018
Jonathan Rouis Individual Corporate DirectorBoard Member Jan 1, 2018
Jill Embler Individual W-2 Managing EmployeeVice President Jan 1, 2020
Yvonne Rosado Individual W-2 Managing EmployeeDirector PFS Nov 1, 2018
Brian Tew Individual Corporate OfficerCeo Jan 1, 2020 100%
Andrew Pavloff Individual Corporate DirectorDirector Jan 1, 2020
Susan Murray-Tetz Individual Corporate DirectorBoard Member Jan 1, 2018
James P Grigg Individual Corporate OfficerCfo Nov 1, 2018
Rolland B Peacock Individual Corporate DirectorChair Jan 1, 2018
Heidi Hahn-Schroeder Individual Corporate DirectorBoard Member Jan 1, 2018
Don Beeler Individual Corporate OfficerVice Chair Jan 1, 2018

Practitioners & affiliated clinicians

Practitioners 115

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 115

Affiliated clinicians 860

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

View all 860

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1609875772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 EAST MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-333-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 EAST MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-333-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNET HEALTH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "SCHEUERMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "VP OF REVENUE STRATEGY",
        "authorized_official_telephone_number": "845-333-7458"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "3523000H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Regional Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.