NPIMap

Organization Active NPI

Schuyler Hospital Inc

  • Critical Access Hospital
  • Montour Falls, NY
National Provider Identifier
1639150477
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
SCHUYLER HOSPITAL INC
Practice address
220 Steuben St
Montour Falls, NY 14865-9740
Phone
(607) 535-7121
Fax
(607) 535-9097
NPI assigned
Nov 9, 2005
Last updated
Jul 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Authorized official

Name
Sue O'Connell
Title
Director of Reimbursement
Phone
(607) 535-8639

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

220 Steuben St
Montour Falls, NY 14865-9740

Mailing address

220 Steuben St
Montour Falls, NY 14865-9740
Phone (607) 535-8639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614000139 NY Part A Provider - Critical Access Hospital 3577548262 Receives reassigned benefits from 74 practitioners
Practice locations: Montour Falls, NY; Ovid, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639150477. Details of each certification follow.

Hospital certification: CCN 331313

Legal name
SCHUYLER HOSPITAL INC
Doing business as
SENECA VIEW LTC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 24, 2005
Last certification
Apr 25, 2013
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 22, 1920 in NY
Enrollment address
220 Steuben St
Montour Falls, NY 14865-9740
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Schuyler HospitalCCN 331313 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Jerry Mickelson Individual Corporate Director May 1, 2016
John Lambert Individual Corporate Director May 1, 2016
Martin Stallone Individual Corporate DirectorCeo May 1, 2019
Carl Sgrecci Individual Corporate Director May 1, 2016
Joel Malina Individual Corporate Director May 1, 2016
Fred Wickham Individual Corporate Director May 1, 2016
Suzanne Blowers Individual Corporate Director May 1, 2016
James Brown Individual Corporate Director May 1, 2016
Paula Younger Individual Corporate Director May 1, 2016
Thomas P Livigne Individual Corporate DirectorSecretary May 1, 2016
Cayuga Health System Inc Organization, Ithaca, NY Non-profit Operational/Managerial Control Sep 23, 2014 100%
Benjamin J Saks Individual Corporate Director May 1, 2016
Kenneth Clarke Individual Corporate Director May 1, 2016
Rebecca Gould Individual Corporate OfficerPresident/Cfo Feb 8, 2020
W-2 Managing Employee Jul 1, 2010
Eunice Nayo Individual Corporate Director May 1, 2016
Greg Hartz Individual Corporate DirectorTreasurer May 1, 2016

Owners & managing parties with NPI records 2

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 74

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 74

Affiliated clinicians 150

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

View all 150

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1639150477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STEUBEN ST",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148659740",
            "telephone_number": "607-535-8639",
            "fax_number": "607-535-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 STEUBEN ST",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148659740",
            "telephone_number": "607-535-7121",
            "fax_number": "607-535-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLER HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "607-535-8639"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montour Falls, NY

Sources for this page

Verify at the official NPI Registry.