NPIMap

Organization Active NPI

St Elizabeth Medical Center

  • General Acute Care Hospital
  • Utica, NY
National Provider Identifier
1821093402
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3202002H Issued in NY
Legal business name
ST ELIZABETH MEDICAL CENTER
Practice address
2209 Genesee St
Utica, NY 13501-5930
Phone
(315) 798-8100
Fax
(315) 798-8391
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Belinda Grossi
Title
Provider Credentialing Manager
Phone
(315) 801-4238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3202002H NY Primary

Addresses

Primary practice location

2209 Genesee St
Utica, NY 13501-5930

Mailing address

2209 Genesee St
Utica, NY 13501-5999
Phone (315) 801-4238

Other practice location 1

111 Hospital Dr.
Utica, NY 13502
Phone (315) 801-4238

Other identifiers 2

IdentifierTypeStateIssuer
00892975MedicaidNY
002799001MedicaidNY

Other names 2

  • MVHS Inc Doing business as
  • Mohawk Valley Health System Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

National Provider Directory

National Provider Directory

Locations

5 Ann St
Mohawk, NY 13407
Phone (315) 866-0040

6 Hampden Pl
Utica, NY 13502
Phone (315) 624-3666

2209 Genesee St
#1910
Utica, NY 13501

417 Trenton Ave
Utica, NY 13502
Phone (315) 732-8800

2212 Genesee St
Utica, NY 13502
Phone (315) 798-8317

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1821093402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015999",
            "telephone_number": "315-801-4238",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-798-8100",
            "fax_number": "315-798-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hospital Dr.",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "13502",
            "country_code": "US",
            "telephone_number": "315-801-4238",
            "fax_number": "315-801-8391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST ELIZABETH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "GROSSI",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "PROVIDER CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "315-801-4238"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "3202002H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00892975",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002799001",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MVHS Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mohawk Valley Health System Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mohawk Valley Health System Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.