CANTON-POTSDAM HOSPITAL (NPI# 1114104445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114104445 |
| Entity Type | Organization |
| Organization Name | CANTON-POTSDAM HOSPITAL |
| Practice Address |
50 Leroy Street Potsdam NY 13676 |
| Practice Telephone | 3152653300 |
| Practice Fax Number | 3152655745 |
| Mailing Telephone | 3152653300 |
| Mailing Fax Number | 3152655745 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MS. DONNA MCGREGOR (CFO) |
| Authorized Official Telephone | 3152615451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 4429000H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740499821 | Canton-potsdam Hospital | Clinic/Center | 80 East Main St., Canton, NY 13617 | 2007-05-22 |
| 1568548782 | Canton-potsdam Hospital | General Acute Care Hospital | 50 Leroy Street, Potsdam, NY 13676 | 2006-10-31 |
| 1841621000 | Canton-potsdam Hospital | Anesthesiology | 50 Leroy St, Potsdam, NY 13676-1786 | 2013-12-12 |
| 1801229216 | Canton-potsdam Hospital | Emergency Medicine | 50 Leroy St, Potsdam, NY 13676-1786 | 2013-08-21 |
| 1982813176 | Canton-potsdam Hospital | General Acute Care Hospital | 80 E Main St, Canton, NY 13617-1450 | 2007-05-22 |
| Street Address |
50 LEROY STREET |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568548782 | Canton-potsdam Hospital | General Acute Care Hospital | 50 Leroy Street, Potsdam, NY 13676 | 2006-10-31 |
| 1477906667 | Jessica Erin Martin | Physician Assistant | 50 Leroy Street, Potsdam, NY 13676-1799 | 2016-07-22 |
| 1679903421 | Claudia L Meneses | Nurse Practitioner | 50 Leroy Street, Potsdam, NY 13676 | 2013-11-14 |
| 1598829582 | Phillip Moses Bridgman | Pathology | 50 Leroy Street, Potsdam, NY 13676 | 2006-12-21 |
| 1235297268 | Spurgeon Scott Smith | Pathology | 50 Leroy Street, Canton Potsdam Hospital, Potsdam, NY 13676 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992247282 | Trelawny Car Service Inc. | Medicare Defined Swing Bed Unit | 690 E 233rd St, Bronx, NY 10466-2802 | 2016-11-17 |
| 1154872216 | Nita Roy | Medicare Defined Swing Bed Unit | 59 Sunset Ave, Staten Island, NY 10314-5038 | 2016-10-24 |
| 1942691605 | Tlc Health Network | Medicare Defined Swing Bed Unit | 12644 Seneca Rd, Irving, NY 14081-9714 | 2015-02-16 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1710206560 | Richmond University Medical Center | Medicare Defined Swing Bed Unit | 22 River Ter Apt 1f, New York, NY 10282-1142 | 2010-05-19 |
| 1740442870 | Garnet Health Medical Center Catskills | Medicare Defined Swing Bed Unit | 8881 Nys Route 97, Callicoon, NY 12723 | 2008-06-30 |
| 1992772560 | Kings County Hospital Center | Medicare Defined Swing Bed Unit | 1828 E 52nd St, Brooklyn, NY 11234-3814 | 2006-03-02 |
| 1568827327 | Rachelle Alexandre-barais | Medicare Defined Swing Bed Unit | 1425 Portland Ave, Rochester, NY 14621-3001 | 2015-12-22 |
| 1891104717 | Carthage Area Hospital, Inc. | Medicare Defined Swing Bed Unit | 1001 West St, Carthage, NY 13619-9703 | 2014-08-05 |
| 1518380732 | Lewis County General Hospital | Medicare Defined Swing Bed Unit | 7785 N State St, Lowville, NY 13367-1229 | 2014-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.