NPIMap

Organization Active NPI

Carthage Area Hospital Inc

Doing business as Claxton-Hepburn Medical Campus

  • Critical Access Hospital
  • Ogdensburg, NY
National Provider Identifier
1669236261
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
CARTHAGE AREA HOSPITAL INC
Doing business as
Claxton-Hepburn Medical Campus
Practice address
214 King St Ste a
Ogdensburg, NY 13669-1142
Phone
(315) 393-3600
NPI assigned
Feb 13, 2024
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Jerian Ouano Odell
Title
Chief Operating Officer
Phone
(315) 519-5209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

214 King St Ste a
Ogdensburg, NY 13669-1142

Mailing address

1001 West St
Carthage, NY 13619-9703
Phone (315) 519-5724

Other names 1

  • Claxton-Hepburn Medical Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040209000856 NY Part B Supplier - Clinic/Group Practice 9931010485 Receives reassigned benefits from 250 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waddington, NY; Philadelphia, NY; Ogdensburg, NY; Heuvelton, NY; Hammond, NY; Carthage, NY; Canton, NY; Madrid, NY
O20250214001903 NY Part A Provider - Critical Access Hospital 9931010485 Practice locations: Ogdensburg, NY
O20250318003311 NY Part A Provider - Critical Access Hospital 9931010485 Receives reassigned benefits from 20 practitioners
Practice locations: Heuvelton, NY; Ogdensburg, NY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1669236261. Details of each certification follow.

Hospital certification: CCN 33Z324

Legal name
CARTHAGE AREA HOSPITAL INC
Organization structure
CorporationNon-profit
Enrollment address
214 King St
Ste a
Ogdensburg, NY 13669-1142
Hospital Swing-Bed Unit

Hospital certification: CCN 331324

Legal name
CARTHAGE AREA HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 23, 2025
Last certification
Jun 23, 2025
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
214 King St
Ste a
Ogdensburg, NY 13669-1142
Main/Primary Hospital Location

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Care Compare: Hospital

Medicare Care Compare
Listed as
Carthage Area Hospital, IncCCN 331324 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0167743Claxton-Hepburn Medical Campus214 King St, Ogdensburg, NY 13669ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

214 King St
Ste 1
Ogdensburg, NY 13669

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Dale Klock Individual Corporate DirectorVice President of Board Dec 24, 2024
Andrew R Manzer Individual Corporate OfficerInterim Ceo Mar 2, 2026
W-2 Managing EmployeeAd; Mar 2, 2026
W-2 Managing EmployeeAd; Mar 2, 2026 100%
Arnold R Hager Individual Corporate OfficerVP of Revenue Cycle Sep 1, 2025
Jerian O'Dell Individual Corporate OfficerCoo Apr 2, 2023
Mirza M Ashraf Individual Corporate DirectorBoard Member Dec 24, 2024
Tim Sturick Individual Corporate DirectorTreasurer of Board Dec 24, 2024
Gary Rowe Individual Corporate DirectorPresident of Board Dec 24, 2024
Larry Hasseler Individual Corporate DirectorSecretary of Board Dec 24, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 41

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 41

Affiliated clinicians 210

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

View all 210

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1669236261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-519-5724",
            "fax_number": "315-493-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST STE A",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-393-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE AREA HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "JERIAN",
        "authorized_official_middle_name": "OUANO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "315-519-5209"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claxton-Hepburn Medical Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.