Active NPI
Arnot Ogden Medical Center
- Skilled Nursing Facility
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0701001N
- Legal business name
- ARNOT OGDEN MEDICAL CENTER
- Practice address
- 555 Saint Josephs Blvd
Elmira, NY 14901-3223 - Phone
- (607) 733-6541
- Fax
- (607) 737-2624
- NPI assigned
- Apr 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jonathan I. Lawrence
- Title
- President & Chief Executive Officer
- Phone
- (607) 737-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0701001N | NY | Primary |
Addresses
Primary practice location
555 Saint Josephs Blvd
Elmira, NY 14901-3223
Mailing address
555 Saint Josephs Blvd
Elmira, NY 14901-3223
Phone (607) 733-6541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00353072 | Medicaid | NY |
Other names 1
- St. Joseph's Skilled Nursing Facility
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150420001573 | NY | Part A Provider - Skilled Nursing Facility | 7113900754 | Practice locations: Elmira, NY |
Skilled nursing facility certification: CCN 335072
- Legal name
- ST. JOSEPH'S HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Jul 26, 2024
- Beds
- 85
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 20, 1908 in NY
- Enrollment address
- 555 Saint Josephs Blvd
Elmira, NY 14901-3223 - Nursing home name
- ST. JOSEPH'S HOSPITAL - SKILLED NURSING FACILITY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St. Joseph's Hospital - Skilled Nursing Facility
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 85
National Provider Directory
National Provider Directory- Tax ID family
- Horseheads Primary Care
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1972889467
-
- Clinic/Center
- Big Flats, NY
- NPI 1265544936
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1366727737
Locations
7571 State Route 54
Ste A
Bath, NY 14810
455 Maple St
Big Flats, NY 14814
Phone (607) 562-3600
200 Madison Ave
Ste 1B
Elmira, NY 14901
Phone (607) 733-6541
Ownership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ben E Lynch | Corporate Director | Sep 1, 2011 | 5% |
| Mark J Hagan | Corporate Director | Sep 1, 2011 | 5% |
| Roger G Schenone | Corporate Director | Sep 1, 2011 | 5% |
| Michael Hosey | Corporate Director | Sep 1, 2011 | 5% |
| John F O'Mara | Corporate Director | Sep 1, 2011 | 5% |
| Gregg T Martin | W-2 Managing Employee | Sep 1, 2011 | |
| Mary Lou Mitchell | Corporate Director | Sep 1, 2011 | 5% |
| Roy a Kyles | Corporate Director | Sep 1, 2011 | 5% |
| Robert K Lambert | Corporate Officer | Dec 1, 2013 | |
| W-2 Managing Employee | Sep 1, 2011 | ||
| Arnot Health Inc | Other | Sep 1, 2011 | 100% |
| Kevin P Oconnor | Corporate Director | Jan 1, 2014 | 5% |
| H. Fred Farley | Corporate Officer | Aug 31, 2011 | |
| W-2 Managing Employee | Sep 1, 2011 | ||
| Melinda Sartori | Corporate Director | Sep 1, 2011 | 5% |
| Marc Rustici | Operational/Managerial Control | Sep 1, 2011 | |
| Ronald J Kintz | Corporate Officer | Dec 31, 2010 | |
| Daniel J Burke | Corporate Director | Sep 1, 2011 | 5% |
| S. Jan Eberhard | Corporate Director | Sep 1, 2011 | 5% |
| Joseph P Manning | Corporate Director | Sep 1, 2011 | 5% |
| Christine M Deschamps | Corporate Director | Sep 1, 2011 | 5% |
| David Dalrymple | Corporate Director | Sep 1, 2011 | 5% |
| Kenneth Herzl-Betz | Corporate Director | Jan 1, 2014 | 5% |
| Patrick J Rogers | Corporate Director | Sep 1, 2011 | 5% |
| Donald G Quick | Corporate Director | Sep 1, 2011 | 5% |
| Robert M McNamara | Corporate Director | Sep 1, 2011 | 5% |
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 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Elmira, NY
- NPI 1750332623
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1306885306
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1114020237
-
- Internal Medicine Physician
- Horseheads, NY
- NPI 1023190022
-
- Neonatal-Perinatal Medicine Physician
- Olympia, WA
- NPI 1235269127
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Elmira, NY
- NPI 1750332623
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551657600000",
"number": "1689637829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SAINT JOSEPHS BLVD",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013223",
"telephone_number": "607-733-6541",
"fax_number": "607-733-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SAINT JOSEPHS BLVD",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013223",
"telephone_number": "607-733-6541",
"fax_number": "607-737-2624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARNOT OGDEN MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-10",
"last_updated": "2019-03-04",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "607-737-4100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "0701001N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00353072",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Joseph's Skilled Nursing Facility",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.