NPIMap

Organization Active NPI

Mary Imogene Bassett Hospital

  • Rural Health Clinic/Center
  • Herkimer, NY
National Provider Identifier
1841847779
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MARY IMOGENE BASSETT HOSPITAL
Practice address
321 E Albany St
Herkimer, NY 13350-2016
Phone
(315) 867-2700
Fax
(315) 867-2717
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Paul Swinko
Title
Network Cfo and BMC VP
Phone
(607) 547-3096

Specialties & licenses 1

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

Addresses

Primary practice location

321 E Albany St
Herkimer, NY 13350-2016

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456

Other names 1

  • Bassett Healthcare - Herkimer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Rural health clinic certification: CCN 333994

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BASSETT HEALTHCARE HERKIMER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 22, 2019
Last certification
Nov 22, 2019
Ownership / control type
2B
Facility address
321 East Albany Street
East Herkimer, NY 13350
Related CCNs
330136

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0166825Mary Imogene Bassett Hospital, Herkimer321 East Albany Street, Herkimer, NY 13350ComplianceMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Bassett Physician GRP37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1841847779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ALBANY ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502016",
            "telephone_number": "315-867-2700",
            "fax_number": "315-867-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY IMOGENE BASSETT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "SWINKO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "NETWORK CFO AND BMC VP",
        "authorized_official_telephone_number": "607-547-3096"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bassett Healthcare - Herkimer",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.