Schuyler Hospital Inc
Organization Active NPI Critical Access Hospital · Montour Falls, NY
NPI 1639150477 · NPPES record last updated Jul 20, 2017
Key facts
- NPI
- 1639150477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 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
- Organization subpart
- No
Authorized official
- Name
- Sue O'Connell
- Title
- Director of Reimbursement
- Phone
- (607) 535-8639
Owners & managing parties with NPI records 2
-
Benjamin Joseph Saks, D.O.
-
Martin Stallone Jr., MD/MBA
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 3
Facilities with the same owner 3
Practitioners 75
-
Timothy Eric Bael, M.D.
-
Malcolm D Brand, M.D.
-
Mark Clark, MD
-
Hannah E. Cramer, NP
-
Bradley Thomas Dewitt, PA-C
-
Jerry Robert Emmons, M.D.
-
Nikki Anne Fitch, FNP-C
-
Samuel Peter Francis, M.D.
-
Vallerie Franzese-Lynch, CFNP
-
Farla Jean-Louis, MD
-
Micah Gabriel Katz, M.D.
-
Patricia Kelly, NP
-
Lavanya Kodali, M.D
-
Keith Garrett Lambert, M.D.
Affiliated clinicians 150
-
Nisha Elizabeth Ajit, MBBS
-
Mohamed Omar Atwaibi, M.D
-
Rachel Elizabeth Ayers, FNP-C
-
Timothy Eric Bael, M.D.
-
Brandon Michael Bilka, M.D.
-
Brian Bollo, MD
-
Malcolm D Brand, M.D.
-
Melissa Ann Brand, FNP
-
Robert E Burke, M.D.
-
Stephanie Lynn Busch, RPA-C
-
Carl M. Charnetski, M.D.
-
Mark Clark, MD
-
Ann R Costello, MD
-
Hannah E. Cramer, NP
-
Ashlesh Dani, M.D.
-
Serge Dauphin, MD
Medicare Care Compare: Hospital
- Listed as
- Schuyler Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
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
- Corporation · Non-profit
- Incorporated
- Nov 22, 1920 in NY
- Enrollment address
- 220 Steuben St
Montour Falls, NY 14865-9740
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Jerry Mickelson |
Corporate Director | May 1, 2016 | |
| John Lambert |
Corporate Director | May 1, 2016 | |
| Martin Stallone |
Corporate Director |
May 1, 2019 | |
| Carl Sgrecci |
Corporate Director | May 1, 2016 | |
| Joel Malina |
Corporate Director | May 1, 2016 | |
| Fred Wickham |
Corporate Director | May 1, 2016 | |
| Suzanne Blowers |
Corporate Director | May 1, 2016 | |
| James Brown |
Corporate Director | May 1, 2016 | |
| Paula Younger |
Corporate Director | May 1, 2016 | |
| Thomas P Livigne |
Corporate Director |
May 1, 2016 | |
| Cayuga Health System Inc |
Operational/Managerial Control | Sep 23, 2014 | 100% |
| Benjamin J Saks |
Corporate Director | May 1, 2016 | |
| Kenneth Clarke |
Corporate Director | May 1, 2016 | |
| Rebecca Gould |
Corporate Officer |
Feb 8, 2020 | |
| W-2 Managing Employee | Jul 1, 2010 | ||
| Eunice Nayo |
Corporate Director | May 1, 2016 | |
| Greg Hartz |
Corporate Director |
May 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210614000139 | NY | Part a Provider - Critical Access Hospital | 3577548262 |
Receives reassigned benefits from 74 practitioners Practice locations: Montour Falls, NY; Ovid, NY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| Critical Access Hospital | 282NC0060X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00363144 | Medicaid | NY |
Other providers in Montour Falls, NY
- Samantha Schamel
- Schuyler County Chapter, Nysarc, Inc.
- Schuyler Hospital
- Schuyler Hospital Inc
- Schuyler Hospital Inc
- Schuyler Hospital Inc
- Schuyler Hospital Inc
- Schuyler Hospital Inc
- Schuyler Sleep Physicians
- William Zachary Sims
All providers in Montour Falls, NY · Critical Access Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.