NPIMap

Organization Active NPI

Massena Hospital Inc

  • Rural Health Clinic/Center
  • Massena, NY
National Provider Identifier
1780301473
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MASSENA HOSPITAL INC
Practice address
10 State Highway 37B
Massena, NY 13662-3142
Phone
(315) 769-4340
NPI assigned
Oct 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MASSENA HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Kelly J Cicchinelli
Title
SLH VP of Finance
Phone
(315) 261-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

10 State Highway 37B
Massena, NY 13662-3142

Mailing address

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 261-5150

National Provider Directory

National Provider Directory
Tax ID family
Massena Hospital Inc4 organizations share this tax ID, including this one
Part of
Massena Hospital Inc

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1780301473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-261-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STATE HIGHWAY 37B",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136623142",
            "telephone_number": "315-769-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSENA HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASSENA HOSPITAL INC",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "CICCHINELLI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SLH VP OF FINANCE",
        "authorized_official_telephone_number": "315-261-5102"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.