Bassett Hospital of Schoharie County
Organization Active NPI Critical Access Hospital · Cobleskill, NY
NPI 1689741985 · NPPES record last updated Jan 4, 2019
Key facts
- NPI
- 1689741985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 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
- Organization subpart
- No
Authorized official
- Name
- Edward Mark Marryott
- Title
- Vice President - Revenue Cycle
- Phone
- (607) 547-6947
Owners & managing parties with NPI records 2
-
Deborah Lisa Funk Valois, M.D.
-
Joseph R Sellers, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 12
Practitioners 2
-
Joyce B Burton, D.O.
-
Jennifer Lynn Kujak, M.D.
Affiliated clinicians 259
-
Bashir Abdul-Wadud, PA-C
-
Evan Adelstein, MD
-
Peter Y Ahn, DO
-
Rosemaria Prince Alappat, D.O.,MBA.
-
Asad Ali, M.D.
-
Samuel S Badalian, M.D., PH.D.
-
Timothy F Barcomb, M.D.
-
Lawrence Barnowsky, M.D.
-
Monica Bauman, M.D.
-
Carlos Bermejo, MD
-
Joyce V Bitran, D.O.
-
Leslie Marie Boyle, FNP
-
Marina Bravin, M.D.
-
Karen Jean Brown, PA
-
Chester R Burton, DO
-
Joyce B Burton, D.O.
-
Zubair Majid Butt, MBBS
Medicare Care Compare: Hospital
- Listed as
- Cobleskill Regional Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
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
- Corporation · Non-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
- Corporation · Non-profit
- Enrollment address
- 178 Grandview Dr
Cobleskill, NY 12043-5144
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph R Sellers |
Corporate Director |
Jul 1, 1999 | |
| Carl J Mummenthey |
Corporate Officer |
Jun 16, 2016 | |
| Corporate Director |
Jun 18, 2015 | ||
| Corporate Officer | Jun 16, 2016 | ||
| Susan a Oakes Ferucci |
Corporate Director |
Sep 29, 2008 | |
| Corporate Director | Sep 29, 2008 | ||
| Michael L Breen |
Corporate Director |
Jun 18, 2015 | |
| Daniel M Ayres |
Corporate Director |
Jun 15, 2017 | |
| Antonio Cogliandro |
Corporate Director |
Jun 15, 2017 | |
| James G Vielkind |
Corporate Director |
May 1, 2017 | |
| Corporate Director |
May 1, 2017 | ||
| Bassett Healthcare Network |
5% Or Greater Direct Ownership Interest | Jun 11, 2019 | 100% |
| Other | Jul 1, 1994 | ||
| Amy E Gildemeister |
Corporate Director |
Jun 21, 2018 | |
| Corporate Director |
Jun 1, 2018 | ||
| Patricia a O'Connor |
Corporate Officer |
Jun 27, 2019 | |
| Corporate Director |
Jun 16, 2016 | ||
| Corporate Officer | Jun 27, 2019 | ||
| Garth Roberts |
Corporate Director |
Jun 26, 2014 | |
| Corporate Director |
Aug 26, 2014 | ||
| Sue Ellen Wagner |
Corporate Director |
Jun 21, 2018 | |
| Deborah L Funk Valois |
Corporate Director |
Jun 16, 2016 | |
| Martha J Harris |
W-2 Managing Employee |
Jan 1, 2022 | |
| Jennifer Saunders |
Corporate Director |
Jun 21, 2018 | |
| Steven a Kroll |
Corporate Officer |
Jun 15, 2017 | |
| Corporate Director |
Jun 27, 2002 | ||
| Corporate Officer | Jun 15, 2017 | ||
| Corporate Director |
Jun 15, 2017 | ||
| Ashley Holmes |
W-2 Managing Employee |
Oct 1, 2024 | |
| Christine M Pirri |
Corporate Director | Dec 27, 2015 | |
| Rebecca Fassett |
W-2 Managing Employee |
Nov 17, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Bassett Hospital of Schoharie County
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 4720001H | NY | |
| Critical Access Hospital | 282NC0060X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00302429 | Medicaid | NY |
Other providers in Cobleskill, NY
- Frederic P Atkins
- Patsy Anne Aversa
- Allesandra Badalucco
- Victor Arthur Baldassari
- Bassett Healthcare Cobleskill
- Bassett Hospital of Schoharie County
- Jane M Becker
- Nomi-Kaie Bennett
- Jordon M Beverland
- Joyce V Bitran
All providers in Cobleskill, 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 Jan 4, 2019. 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.