NPIMap

Organization Active NPI

Margaretville Memorial Hospital

  • Land Ambulance
  • Margaretville, NY
National Provider Identifier
1912950643
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1203 Issued in NY
Legal business name
MARGARETVILLE MEMORIAL HOSPITAL
Practice address
42084 State Highway 28
Margaretville, NY 12455
Phone
(845) 586-2631
Fax
(845) 943-6077
NPI assigned
May 17, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Mark Pohar, CEO
Title
Ceo
Phone
(845) 586-2631

Other NPIs with the same Medicare PAC ID 3

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

Corporate family (same tax ID) 3

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080227000867 NY Part B Supplier - Ambulance Service Supplier 9537071550 Practice locations: Margaretville, NY

National Provider Directory

National Provider Directory
Tax ID family
Prattsville Fam HLTH Ctr (4 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1203 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

42084 State Highway 28
Margaretville, NY 12455

Mailing address

42084 State Highway 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00279387MedicaidNY

Other names 1

NPPES NPI Registry
  • Magaretville Memorial Hopsital Ambulance Squad Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2018.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1912950643",
    "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": "845-586-2976"
        },
        {
            "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": "12455",
            "telephone_number": "845-586-2631",
            "fax_number": "845-943-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARETVILLE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "POHAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-586-2631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magaretville Memorial Hopsital Ambulance Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Margaretville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.