NPIMap

Organization Active NPI

Schuyler Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Montour Falls, NY
National Provider Identifier
1740364181
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
SCHUYLER HOSPITAL INC
Practice address
220 Steuben Street
Montour Falls, NY 14865
Phone
(607) 535-7121
Fax
(607) 535-9399
NPI assigned
Oct 24, 2006
Last updated
Jul 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Sue O'Connell
Title
Director of Reimbursement
Phone
(607) 535-8639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

220 Steuben Street
Montour Falls, NY 14865

Mailing address

220 Steuben Street
Montour Falls, NY 14865
Phone (607) 535-7121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220820000155 NY Part A Provider - Critical Access Hospital 3577548262 Practice locations: Montour Falls, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740364181. Details of each certification follow.

Hospital certification: CCN 33Z313

Legal name
SCHUYLER HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Nov 22, 1920 in NY
Enrollment address
220 Steuben St
Montour Falls, NY 14865-9740
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory

Locations

7603 State Route 54
Bath, NY 14810
Phone (607) 776-0163

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
John Lambert Individual Corporate DirectorBoard Member Jan 1, 2022
Carl Sgrecci Individual Corporate DirectorBoard Member May 1, 2013
Joel Malina Individual Corporate DirectorBoard of Directors Jan 1, 2022
Fred Wickham Individual Corporate DirectorBoard of Directors May 11, 2011
Suzanne Blowers Individual Corporate DirectorBoard of Directors May 11, 2011
James Brown Individual Corporate DirectorBoard of Directors Jan 1, 2022
Paula Younger Individual Corporate DirectorBoard of Directors Jan 1, 2022
Thomas P Livigne Individual Corporate DirectorBoard of Directors Jan 1, 2016
Cayuga Health System Inc Organization, Ithaca, NY Non-profit 5% Or Greater Direct Ownership Interest Sep 23, 2014 100%
Jasmine Canestaro Individual W-2 Managing EmployeeExec Dir Ancillary Support Feb 28, 2022
Holly Conway Individual W-2 Managing EmployeeExec Dir Provider Services Mar 9, 2022
Benjamin J Saks Individual Corporate OfficerMedical Director Jan 1, 2021
Kenneth Clarke Individual Corporate DirectorBoard of Directors Jan 1, 2022
Rebecca Gould Individual Corporate OfficerPresident/Cfo Jul 1, 2010
Greg Hartz Individual Corporate DirectorBoard of Directors Jan 1, 2022

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 120

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 120

Affiliated clinicians 3

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1740364181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STEUBEN STREET",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "14865",
            "telephone_number": "607-535-7121",
            "fax_number": "607-535-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 STEUBEN STREET",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "14865",
            "telephone_number": "607-535-7121",
            "fax_number": "607-535-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLER HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "607-535-8639"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montour Falls, NY

Sources for this page

Verify at the official NPI Registry.