Margaretville Memorial Hospital

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16327 Issued in NY

Legal business name

MARGARETVILLE MEMORIAL HOSPITAL

Practice address

42084 State Highway 28
Margaretville, NY 12455-2820

Phone

(845) 586-2631

Fax

(845) 586-2539

NPI assigned

Aug 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Randall Moore

Title

Director of Pharmacy

Phone

(845) 586-2631

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Margaretville Memorial Hospital

  • Critical Access Hospital
  • Margaretville, NY
  • NPI 1164473039

  9537071550

  Same PAC ID
• Margaretville Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Margaretville, NY
  • NPI 1740233840

  9537071550

  Same PAC ID
• Margaretville Memorial Hospital

  • Land Ambulance
  • Margaretville, NY
  • NPI 1912950643

  9537071550

  Same PAC ID

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1831404995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124552820",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42084 STATE HIGHWAY 28",
            "city": "MARGARETVILLE",
            "state": "NY",
            "postal_code": "124552820",
            "telephone_number": "845-586-2631",
            "fax_number": "845-586-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARETVILLE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "845-586-2631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "16327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lucille Mannle, LMSW
• Margaretville Central School District
• Margaretville Hospital Pharmacy
• Margaretville Memorial Hospital
• Margaretville Memorial Hospital
• Margaretville Memorial Hospital
• Margaretville Memorial Hospital
• Margaretville NRS HME
• Margaretville Nursing Home Inc
• Christopher Marks, PT, DPT

• All providers in Margaretville, NY
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.