NPIMap

Organization Active NPI

Our Lady of Lourdes Memorial Hospital Inc.

Doing business as Lourdes

  • General Acute Care Hospital
  • Binghamton, NY
National Provider Identifier
1629087580
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0301001H Issued in NY
Legal business name
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC.
Doing business as
Lourdes
Practice address
169 Riverside Dr
Binghamton, NY 13905-4246
Phone
(607) 798-5111
Fax
(607) 798-6730
NPI assigned
Aug 7, 2006
Last updated
Sep 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Lynn Sanne
Title
Avp Revenue Services
Phone
(607) 584-5492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0301001H NY Primary

Addresses

Primary practice location

169 Riverside Dr
Binghamton, NY 13905-4246

Mailing address

169 Riverside Dr
Binghamton, NY 13905-4246
Phone (607) 798-5111

Other identifiers 2

IdentifierTypeStateIssuer
0301001HOtherNYSTATE LICENSE
00337664MedicaidNY

Other names 1

  • Lourdes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000366 NY Part B Supplier - Clinic/Group Practice 1254237779 Receives reassigned benefits from 442 practitioners
1 other NPI on this enrollment
Practice locations: Johnson City, NY; New Berlin, NY; Owego, NY; Richford, NY; Vestal, NY; Whitney Point, NY; Endicott, NY; Hancock, NY…
O20071205000020 NY Part A Provider - Hospital 1254237779

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629087580. Details of each certification follow.

Hospital certification: CCN 330011

Legal name
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1991
Last certification
Mar 17, 2025
Beds
267
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 20, 1936 in NY
Enrollment address
169 Riverside Dr
Binghamton, NY 13905-4198
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 9

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

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
Our Lady of Lourdes Memorial Hospital, IncCCN 330011 · All quality measures
Overall star rating
3 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

Locations

161 Riverside Dr
Ste 205
Binghamton, NY 13905
Phone (607) 798-6176

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

303 Main St
Binghamton, NY 13905
Phone (607) 729-8687

39 E Main St
Hancock, NY 13783
Phone (607) 637-5700

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

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
Kathryn Connerton Individual Corporate OfficerPresident/Ceo Dec 1, 2014
Corporate DirectorPresident/Ceo Dec 1, 2014
W-2 Managing EmployeePresident Ceo Dec 1, 2014
Robert Fisher Individual Corporate Director Jul 1, 2015
James Orband Individual Corporate Director Jul 1, 2013
Brian Rose Individual Corporate Director Jul 1, 2015
Wendy Sowle Individual Corporate OfficerDirector, Revenue Cycle MGMT Corpor Feb 1, 2025
Sanjiv a Patel Individual W-2 Managing Employee Oct 1, 1999
Kim Myers Individual Corporate Director Jul 1, 2014
Steven Vannostrand Individual Corporate Director Jul 1, 2014
Yasmin Guirgis Individual Corporate DirectorAvp, Financial Operations/Cfo, East Dec 1, 2025
W-2 Managing Employee Dec 1, 2025
Frank Greco Individual Corporate Director Jul 1, 2014
Edmund S Sabanegh Individual Corporate OfficerPresident, Ceo, the Guthrie Clinic, Sep 1, 2021 100%
Corporate Director Feb 1, 2024
W-2 Managing Employee Feb 1, 2024
OtherPresident, Ceo, the Guthrie Clinic, Feb 1, 2024 100%
Lucia Saggiomo Individual Corporate DirectorVP Corp Revenue Cycle Jun 1, 2017

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 482

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 482

Affiliated clinicians 697

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

View all 697

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1629087580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 RIVERSIDE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054246",
            "telephone_number": "607-798-5111",
            "fax_number": "607-798-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RIVERSIDE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054246",
            "telephone_number": "607-798-5111",
            "fax_number": "607-798-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES MEMORIAL HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "SANNE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "AVP REVENUE SERVICES",
        "authorized_official_telephone_number": "607-584-5492"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "0301001H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0301001H",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00337664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.