NPIMap

Organization Active NPI

Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
National Provider Identifier
1871678458
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3702000H Issued in NY
Legal business name
OSWEGO HOSPITAL
Practice address
110 W 6TH St
Oswego, NY 13126-2507
Phone
(315) 349-5511
Fax
(315) 349-5785
NPI assigned
Oct 25, 2006
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Michael A Harlovic
Title
President & Ceo
Phone
(315) 349-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3702000H NY Primary

Addresses

Primary practice location

110 W 6TH St
Oswego, NY 13126-2507

Mailing address

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Other identifiers 7

IdentifierTypeStateIssuer
02997771MedicaidNY
01414960MedicaidNY
02369919MedicaidNY
0271856MedicaidNY
00914154MedicaidNY
00354485MedicaidNY
01271109MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040602001275 NY Part B Supplier - Clinic/Group Practice 4981686045 Receives reassigned benefits from 127 practitioners
1 other NPI on this enrollment
Practice locations: Oswego, NY; Pulaski, NY; Phoenix, NY; Parish, NY; Mexico, NY; Fulton, NY; Central Square, NY
O20040827000168 NY Part A Provider - Hospital 4981686045 Practice locations: Pulaski, NY; Phoenix, NY; Parish, NY; Oswego, NY; Mexico, NY; Fulton, NY; Central Square, NY
O20071218000186 NY Part A Provider - Hospital 4981686045 Practice locations: Oswego, NY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1871678458. Details of each certification follow.

Hospital certification: CCN 330218

Legal name
OSWEGO HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 25, 2025
Beds
132
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1881 in NY
Enrollment address
110 W 6TH St
Oswego, NY 13126-2507
Main/Primary Hospital Location
Hospital subgroups
General, Psychiatric

Hospital certification: CCN 33S218

Legal name
OSWEGO HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1881 in NY
Enrollment address
29 E Cayuga St
Oswego, NY 13126-1241
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Oswego HospitalCCN 330218 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

501 S 2nd St
Fulton, NY 13069
Phone (315) 598-7400

522 S 4th St
Ste 200
Fulton, NY 13069
Phone (315) 598-7400

98 N 2nd St
Fulton, NY 13069
Phone (315) 326-3555

110 W 6th St
Fl 3
Oswego, NY 13126
Phone (315) 326-3780

20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300

29 E Cayuga St
Oswego, NY 13126
Phone (315) 326-4100

29 E Cayuga St
Ste 200
Oswego, NY 13126
Phone (315) 349-5531

29 E Cayuga St
Ste 400
Oswego, NY 13126
Phone (315) 326-3536

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Timothy R Barnhart Individual Corporate Director Jul 1, 2019
Scott Vangorder Individual Corporate Director Jun 1, 2013
William Clark Individual Corporate Director Jun 1, 2011
Ron Tascarella Individual Corporate Director Jul 1, 2018
Victoria Furlong Individual Corporate Director Jul 1, 2016
Duane F Tull Individual Corporate Director Jan 1, 2020
Michael Backus Individual Corporate OfficerPresident and Ceo Jan 1, 2023
Corporate DirectorPresident & Ceo Jan 1, 2023
W-2 Managing EmployeePresident & Ceo Jan 1, 2023
Mark Slayton Individual Corporate Director Jun 1, 2009
Ellen Holst Individual Corporate Director Jan 1, 2011
Elizabeth W Bozeman Individual Corporate Director Jan 1, 2022
Marie Eggert Individual Corporate Director Jul 1, 2018
Paloma Sarkar Individual Corporate Director Jul 1, 2022
Daniel E Dorsey Individual Corporate Director Jun 1, 2019
Corporate Director Jul 1, 2019
Oswego Hospital Organization, Oswego, NY Non-profit Operational/Managerial Control Dec 10, 2007
Adam Gagas Individual Corporate Director Jan 1, 2011
Peter Cullinan Individual Corporate Director Jan 27, 2003
Corporate Director Jan 1, 2003
Eric T Campbell Individual W-2 Managing EmployeeChief Financial Officer Jul 1, 2015
W-2 Managing EmployeeCfo Jul 1, 2015
Atom Avery Individual Corporate Director Jun 1, 2013
Corporate Officer Jul 1, 2021
Ed Alberts Individual Corporate Officer Jul 1, 2021
Corporate Director May 1, 2019
Katie Toomey Individual Corporate Director Jul 1, 2020

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 167

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 167

Affiliated clinicians 565

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 565

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1871678458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "HARLOVIC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "315-349-5520"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "3702000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02997771",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01414960",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02369919",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271856",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00914154",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354485",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01271109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.