NPIMap

Organization Active NPI

Canton-Potsdam Hospital

  • Rural Acute Care Hospital
  • Canton, NY
National Provider Identifier
1982813176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
004071-1 Issued in NY
Legal business name
CANTON-POTSDAM HOSPITAL
Practice address
80 E Main St
Canton, NY 13617-1450
Phone
(315) 261-5490
Fax
(315) 261-6490
NPI assigned
May 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jodie L Matice, PTA
Title
Physical Therapist Assistant
Phone
(315) 261-5490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 004071-1 NY Primary

Addresses

Primary practice location

80 E Main St
Canton, NY 13617-1450

Mailing address

281 Little Bow Rd
Gouverneur, NY 13642-3154
Phone (315) 287-0982

National Provider Directory

National Provider Directory
Tax ID family
Canton-Potsdam Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982813176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 LITTLE BOW RD",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136423154",
            "telephone_number": "315-287-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E MAIN ST",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171450",
            "telephone_number": "315-261-5490",
            "fax_number": "315-261-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON-POTSDAM HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATICE",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "315-261-5490",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NY",
            "license": "004071-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.