NPIMap

Organization Active NPI

Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
National Provider Identifier
1689741985
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
BASSETT HOSPITAL OF SCHOHARIE COUNTY
Practice address
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone
(518) 254-3270
Fax
(518) 234-4839
NPI assigned
Nov 29, 2006
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Edward Mark Marryott
Title
Vice President - Revenue Cycle
Phone
(607) 547-6947

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 4720001H NY
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

178 Grandview Dr
Cobleskill, NY 12043-5144

Mailing address

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3270

Other identifiers 1

IdentifierTypeStateIssuer
00302429MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180424001058 NY Part A Provider - Critical Access Hospital 5496793879 Receives reassigned benefits from 215 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cobleskill, NY
O20191002003041 NY Part A Provider - Critical Access Hospital 5496793879 Practice locations: Cobleskill, NY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1689741985. Details of each certification follow.

Hospital certification: CCN 331320

Legal name
BASSETT HOSPITAL OF SCHOHARIE COUNTY
Doing business as
COBLESKILL REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 15, 2018
Last certification
Jun 5, 2025
Beds
40
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
178 Grandview Dr
Cobleskill, NY 12043-5144

Hospital certification: CCN 33Z320

Legal name
BASSETT HOSPITAL OF SCHOHARIE COUNTY
Doing business as
COBLESKILL REGIONAL HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
178 Grandview Dr
Cobleskill, NY 12043-5144
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 1

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
Cobleskill Regional HospitalCCN 331320 · All quality measures
Overall star rating
4 of 5
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
Tax ID family
Bassett Hospital of Schoharie County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Joseph R Sellers Individual Corporate DirectorBoard Member Jul 1, 1999
Carl J Mummenthey Individual Corporate OfficerChairman Board of Trustees Jun 16, 2016
Corporate DirectorBoard Member Jun 18, 2015
Corporate Officer Jun 16, 2016
Susan a Oakes Ferucci Individual Corporate DirectorVice President Clinical Operatio Sep 29, 2008
Corporate Director Sep 29, 2008
Michael L Breen Individual Corporate DirectorBoard Member Jun 18, 2015
Daniel M Ayres Individual Corporate DirectorBoard Member Jun 15, 2017
Antonio Cogliandro Individual Corporate DirectorBoard Member Jun 15, 2017
James G Vielkind Individual Corporate DirectorVice President Financial Operati May 1, 2017
Corporate DirectorVP May 1, 2017
Bassett Healthcare Network Organization, Cooperstown, NY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 11, 2019 100%
Other Jul 1, 1994
Amy E Gildemeister Individual Corporate DirectorBoard Member Jun 21, 2018
Corporate DirectorBoard Member Jun 1, 2018
Patricia a O'Connor Individual Corporate OfficerSecretary, Board of Trustees Jun 27, 2019
Corporate DirectorBoard Member Jun 16, 2016
Corporate Officer Jun 27, 2019
Garth Roberts Individual Corporate DirectorBoard Member Jun 26, 2014
Corporate DirectorBoard Member Aug 26, 2014
Sue Ellen Wagner Individual Corporate DirectorBoard Member Jun 21, 2018
Deborah L Funk Valois Individual Corporate DirectorBoard Member Jun 16, 2016
Martha J Harris Individual W-2 Managing EmployeeManager Jan 1, 2022
Jennifer Saunders Individual Corporate DirectorBoard Member Jun 21, 2018
Steven a Kroll Individual Corporate OfficerVice Chairman, Board of Trustees Jun 15, 2017
Corporate DirectorBoard Member Jun 27, 2002
Corporate Officer Jun 15, 2017
Corporate DirectorBoard Member Jun 15, 2017
Ashley Holmes Individual W-2 Managing EmployeeDirector, Revenue Cycle Oct 1, 2024
Christine M Pirri Individual Corporate Director Dec 27, 2015
Rebecca Fassett Individual W-2 Managing EmployeeManager Nov 17, 2025

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 12

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 259

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

View all 259

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1689741985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 GRANDVIEW DR",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120435144",
            "telephone_number": "518-254-3270",
            "fax_number": "518-234-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 GRANDVIEW DR",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120435144",
            "telephone_number": "518-254-3270",
            "fax_number": "518-234-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSETT HOSPITAL OF SCHOHARIE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "MARRYOTT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT - REVENUE CYCLE",
        "authorized_official_telephone_number": "607-547-6947"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NY",
            "license": "4720001H",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00302429",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cobleskill, NY

Sources for this page

Verify at the official NPI Registry.