NPIMap

Organization Active NPI

Carthage Area Hospital Inc

Doing business as Hammond Area Health Center

  • Rural Health Clinic/Center
  • Ogdensburg, NY
National Provider Identifier
1801668983
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CARTHAGE AREA HOSPITAL INC
Doing business as
Hammond Area Health Center
Practice address
214 King St Ste a
Ogdensburg, NY 13669-1142
Phone
(315) 324-5941
Fax
(315) 713-5221
NPI assigned
Oct 23, 2023
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Rob Bloom
Title
Cfo
Phone
(315) 405-1535

Specialties & licenses 1

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

Addresses

Primary practice location

214 King St Ste a
Ogdensburg, NY 13669-1142

Mailing address

1001 West St
Carthage, NY 13619-9703
Phone (315) 519-5724

Other names 1

  • HAMMOND AREA HEALTH CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209000856 NY Part B Supplier - Clinic/Group Practice 9931010485 Receives reassigned benefits from 250 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waddington, NY; Philadelphia, NY; Ogdensburg, NY; Heuvelton, NY; Hammond, NY; Carthage, NY; Canton, NY; Madrid, NY
O20231228001951 NY Part A Provider - Rural Health Clinic 9931010485 Practice locations: Ogdensburg, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801668983. Details of each certification follow.

Rural health clinic certification: CCN 333403

Legal name
CARTHAGE AREA HOSPITAL INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 17, 2020
Last certification
Nov 8, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 25, 1967 in NY
Enrollment address
214 King St
Ste a
Ogdensburg, NY 13669-1142
Related CCNs
331318

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

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Carthage Area Hosp32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Dale Klock Individual Corporate DirectorVice President of Board Jan 1, 2023
Mirza M Ashraf Individual Corporate DirectorBoard Member Jan 1, 2023
Richard a Duvall Individual Corporate OfficerCeo Jan 1, 2023
W-2 Managing EmployeeCeo Jan 1, 2023
Tim Sturick Individual Corporate DirectorTreasurer of Board Jan 1, 2023
Gary Rowe Individual Corporate DirectorPresident of Board Jan 1, 2023
Rob Bloom Individual Corporate OfficerCfo Jan 1, 2025
Larry Hasseler Individual Corporate DirectorSecretary of Board Jan 1, 2023

Owners & managing parties with NPI records 1

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

Change-of-ownership history 1

DateEventCounterparty
Dec 19, 2023 Change of OwnershipThis provider was the buyer Claxton-Hepburn Medical CenterCCN 333403, NY, NPI 1811503865

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1801668983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-519-5724",
            "fax_number": "315-493-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 KING ST STE A",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-324-5941",
            "fax_number": "315-713-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE AREA HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "315-405-1535"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAMMOND AREA HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.