NPIMap

Organization Active NPI

Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Seneca Falls, NY
National Provider Identifier
1750989265
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Practice address
1991 Balsley Rd
Seneca Falls, NY 13148-9797
Phone
(315) 539-0940
NPI assigned
Oct 16, 2020
Organization subpart
Yes
Parent organization
SOLDIERS & SAILORS MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Mr. Jeffrey H Morgan
Title
Cfo & Treasurer
Phone
(315) 787-4030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

1991 Balsley Rd
Seneca Falls, NY 13148-9797

Mailing address

418 N Main St
Penn Yan, NY 14527-1070
Phone (315) 531-2000

Other names 1

  • Lifecare Medical Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118002718 NY Part A Provider - Rural Health Clinic 0446164255 1 other NPI on this enrollment
Practice locations: Seneca Falls, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750989265. Details of each certification follow.

Rural health clinic certification: CCN 333416

Legal name
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 29, 2021
Last certification
Feb 7, 2024
Ownership / control type
1B
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 1942 in NY
Enrollment address
1991 Balsley Rd
Seneca Falls, NY 13148-6725
Related CCNs
331314

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

Other NPIs with the same Medicare PAC ID 7

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.

National Provider Directory

National Provider Directory
Tax ID family
Soldiers Sailors Memorial Hospital10 organizations share this tax ID, including this one
Part of
Soldiers Sailors Memorial Hospital

Other organizations with this tax ID 9

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

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
Kathi S Finizio Individual W-2 Managing Employee Jun 23, 2013
Thomas Neil Thompson Individual Corporate Director Apr 26, 2017
Robert D Anderson Individual Corporate Director Dec 12, 2016
Craig Densmore Individual Corporate Director Apr 25, 2018
Matthew C Talbott Individual Corporate Director Apr 1, 2019
Andre Forcier Individual W-2 Managing Employee Aug 1, 2015
Chevanne Devaney Individual Corporate Director Apr 26, 2017
Jose Acevedo Individual Corporate Director Apr 1, 2010
James Cheney Individual Corporate Director Apr 27, 2016
Ryan Hallings Individual Corporate Director Apr 24, 2019
James Adams Individual Corporate Director Apr 27, 2011
Susan Stork Individual Corporate Director Apr 24, 2019
Jeffrey H Morgan Individual Corporate Director Mar 27, 2019
W-2 Managing Employee Mar 27, 2019
Kylene Abraham Individual Corporate Director Apr 26, 2017
Thomas Burrall Individual Corporate Director Apr 25, 2018
Trisha Koczent Individual Corporate DirectorCfo and Treasurer May 24, 2021
W-2 Managing EmployeeCfo and Treasurer Jun 17, 2021
Lance Ward Individual Corporate Director Apr 22, 2015
Phillip Beckley Individual Corporate Director Sep 26, 2018
John Hicks Individual Corporate Director Apr 24, 2019

Owners & managing parties with NPI records 4

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1750989265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271070",
            "telephone_number": "315-531-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 BALSLEY RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489797",
            "telephone_number": "315-539-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLDIERS & SAILORS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLDIERS & SAILORS MEMORIAL HOSPITAL",
        "enumeration_date": "2020-10-16",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO & TREASURER",
        "authorized_official_telephone_number": "315-787-4030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare Medical Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seneca Falls, NY

Sources for this page

Verify at the official NPI Registry.