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Organization Active NPI

Mary Imogene Bassett Hospital

Doing business as Bassett Healthcare Network Little Falls Dialysis

  • General Acute Care Hospital
  • Little Falls, NY
National Provider Identifier
1700198652
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MARY IMOGENE BASSETT HOSPITAL
Doing business as
Bassett Healthcare Network Little Falls Dialysis
Practice address
140 Burwell St
Little Falls, NY 13365-1725
Phone
(607) 547-3350
Fax
(607) 547-3467
NPI assigned
Jul 8, 2010
Last updated
Sep 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Paul G Swinko Jr.
Title
Vice President Finance
Phone
(607) 547-3096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

140 Burwell St
Little Falls, NY 13365-1725

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456

Other names 1

  • Bassett Healthcare Network Little Falls Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100715000231 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 3779488325 Practice locations: Cooperstown, NY

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Bassett Healthcare Little Falls DialysisCCN 333563
Overall star rating
1.0 of 5
Ownership
Non-profit
Certified
Oct 15, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
12

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Bassett Healthcare Delanson38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Little Falls HospitalLittle Falls, NY, CCN 33Z311 Hospital Operational/Managerial Control Oct 1, 2004
Little Falls HospitalLittle Falls, NY, CCN 331311 Hospital Operational/Managerial Control Oct 1, 2004
O'Connor HospitalDelhi, NY, CCN 331305 Hospital Operational/Managerial Control (100%) Jun 11, 2019
O'Connor HospitalDelhi, NY, CCN 33Z305 Hospital Operational/Managerial Control Jun 11, 2019
At Home Care IncorporatedOneonta, NY, CCN 337233 Home health agency 5% Or Greater Direct Ownership Interest (50%) Jan 1, 1987
Little Falls HospitalDolgeville, NY, CCN 333984 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls HospitalLittle Falls, NY, CCN 333992 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls Hospital Richfield Springs Health CenterRichfield Springs, NY, CCN 333995 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls Hospital West Winfield Health CenterWest Winfield, NY, CCN 333996 Rural health clinic Operational/Managerial Control Oct 1, 2004
Little Falls HospitalSt Johnsville, NY, CCN 333993 Rural health clinic Operational/Managerial Control Oct 1, 2004

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1700198652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3456",
            "fax_number": "607-547-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BURWELL ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651725",
            "telephone_number": "607-547-3350",
            "fax_number": "607-547-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMOGENE BASSETT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "SWINKO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "607-547-3096",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bassett Healthcare Network Little Falls Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bassett Healthcare Network Little Falls Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Falls, NY

Sources for this page

Verify at the official NPI Registry.