NPIMap

Organization Active NPI

Margaretville Memorial Hospital

Doing business as Margaretville Hospital

  • Clinic/Center
  • Roxbury, NY
National Provider Identifier
1750528386
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1226701C Issued in NY
Legal business name
MARGARETVILLE MEMORIAL HOSPITAL
Doing business as
Margaretville Hospital
Practice address
53545 State Hwy 30
Roxbury, NY 12474
Phone
(601) 326-4145
Fax
(607) 326-7525
NPI assigned
Jan 20, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Mr. Edmond Morache
Title
Ceo
Phone
(845) 586-2631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1226701C NY Primary

Addresses

Primary practice location

53545 State Hwy 30
Roxbury, NY 12474

Mailing address

53545 State Hwy 30
Roxbury, NY 12474
Phone (601) 326-4145

Other identifiers 1

IdentifierTypeStateIssuer
00279387MedicaidNY

Other names 1

  • Margaretville Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prattsville Fam HLTH Ctr4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1750528386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53545 STATE HWY 30",
            "city": "ROXBURY",
            "state": "NY",
            "postal_code": "12474",
            "telephone_number": "601-326-4145",
            "fax_number": "607-326-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53545 STATE HWY 30",
            "city": "ROXBURY",
            "state": "NY",
            "postal_code": "12474",
            "telephone_number": "601-326-4145",
            "fax_number": "607-326-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARETVILLE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "MORACHE",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-586-2631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "1226701C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margaretville Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roxbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.