NPIMap

Organization Active NPI

Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
National Provider Identifier
1891862579
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
BASSETT HOSPITAL OF SCHOHARIE COUNTY
Practice address
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone
(518) 254-3456
Fax
(518) 234-4839
NPI assigned
Nov 29, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Edward Mark Marryott
Title
Vice President of Revenue Cycle
Phone
(607) 547-6947

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 1

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

Member organizations 1

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

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

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 220

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

View all 220

Affiliated clinicians 259

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

View all 259

Care Compare: Hospital

Medicare Care Compare
Listed as
Cobleskill Regional HospitalCCN 331320
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Hospital certification: CCN 331320

Medicare enrollment files
Legal name
BASSETT HOSPITAL OF SCHOHARIE COUNTY
Doing business as
COBLESKILL REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 15, 2018
Last certification
Jun 5, 2025
Beds
40
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
178 Grandview Dr
Cobleskill, NY 12043-5144

All disclosed owners & managing parties 17

Medicare enrollment files

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

NameRoleSinceShare
Joseph R Sellers Individual Corporate DirectorBoard Member Jul 1, 1999
Carl J Mummenthey Individual Corporate OfficerChairman Board of Trustees Jun 16, 2016
Corporate DirectorBoard Member Jun 18, 2015
Susan a Oakes Ferucci Individual Corporate DirectorVice President Clinical Operatio Sep 29, 2008
Michael L Breen Individual Corporate DirectorBoard Member Jun 18, 2015
Daniel M Ayres Individual Corporate DirectorBoard Member Jun 15, 2017
Antonio Cogliandro Individual Corporate DirectorBoard Member Jun 15, 2017
James G Vielkind Individual Corporate DirectorVice President Financial Operati May 1, 2017
Bassett Healthcare Network Organization, Cooperstown, NY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 11, 2019 100%
Other Jul 1, 1994
Amy E Gildemeister Individual Corporate DirectorBoard Member Jun 21, 2018
Patricia a O'Connor Individual Corporate OfficerSecretary, Board of Trustees Jun 27, 2019
Corporate DirectorBoard Member Jun 16, 2016
Garth Roberts Individual Corporate DirectorBoard Member Jun 26, 2014
Sue Ellen Wagner Individual Corporate DirectorBoard Member Jun 21, 2018
Deborah L Funk Valois Individual Corporate DirectorBoard Member Jun 16, 2016
Martha J Harris Individual W-2 Managing EmployeeManager Jan 1, 2022
Jennifer Saunders Individual Corporate DirectorBoard Member Jun 21, 2018
Steven a Kroll Individual Corporate OfficerVice Chairman, Board of Trustees Jun 15, 2017
Corporate DirectorBoard Member Jun 27, 2002
Ashley Holmes Individual W-2 Managing EmployeeDirector, Revenue Cycle Oct 1, 2024

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20180424001058 NY Part a Provider - Critical Access Hospital 5496793879 Receives reassigned benefits from 215 practitioners
1 other NPI on this enrollment
Practice locations: Cobleskill, NY

National Provider Directory

National Provider Directory
Tax ID family
Bassett Hospital of Schoharie County (2 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary
Rural Acute Care Hospital 282NR1301X 4720001H NY

Addresses

NPPES NPI Registry

Primary practice location

178 Grandview Dr
Cobleskill, NY 12043-5144

Mailing address

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00302429MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2018.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1891862579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 GRANDVIEW DR",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120435144",
            "telephone_number": "518-254-3456",
            "fax_number": "518-234-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 GRANDVIEW DR",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120435144",
            "telephone_number": "518-254-3456",
            "fax_number": "518-234-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSETT HOSPITAL OF SCHOHARIE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "MARRYOTT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT OF REVENUE CYCLE",
        "authorized_official_telephone_number": "607-547-6947"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NY",
            "license": "4720001H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00302429",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cobleskill, NY

Sources for this page

Verify at the official NPI Registry.