HOSPICE OF FULTON COUNTY INC (NPI# 1396759213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396759213 |
| Entity Type | Organization |
| Organization Name | HOSPICE OF FULTON COUNTY INC |
| Other Organization Name | MOUNTAIN VALLEY HOSPICE |
| Practice Address |
108 Steele Ave Gloversville NY 12078-4617 |
| Practice Telephone | 5187254545 |
| Practice Fax Number | 5187258066 |
| Mailing Telephone | 5187254545 |
| Mailing Fax Number | 5187258066 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | MRS. SUSAN M FRASIER (PRESIDENT/CEO) |
| Authorized Official Telephone | 5187254545 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 1701500F | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP | 2995 | 01 |
| NY | 01062317 | 05 | |
| NY | BSNENY | 0124 | 01 |
| Other Name | Type Code |
|---|---|
| Mountain Valley Hospice | Doing Business As Name - Organization |
| Street Address |
108 STEELE AVE |
| City | GLOVERSVILLE |
| State | NY |
| Zip Code | 12078-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1013424076 | Benjamin Edward Twait | Pharmacist | 1013 Ny-29a, Gloversville, NY 12078 | 2017-12-29 |
| 1538698998 | Claire Burnham | Counselor | 11-21 Broadway St., Gloversville, NY 12078 | 2017-06-08 |
| 1942756895 | Shardul Koppar | Internal Medicine | 847 Cr-122, Gloversville, NY 12078 | 2016-08-31 |
| 1821460288 | Kelley Mcgork | Physical Therapist | 127 E. State Street, Lexington Center, Gloversville, NY 12078 | 2015-10-26 |
| 1750729570 | Arthur Keith Brelia | General Practice | 104 Prospect Ave., Gloversville, NY 12078 | 2013-06-14 |
| 1891056693 | St. Mary's Healthcare | Family Medicine | 84 E State St., Gloversville, NY 12078 | 2012-06-07 |
| 1407179963 | Karen Ann Mowrey | Pharmacist | Route 30a, Arterial Shopping Center, Gloversville, NY 12078 | 2010-03-11 |
| 1619105053 | Amy Lee Gagne | Nurse Practitioner | 84 E State St, St. Mary's Hospital, Gloversville Family Health Center, Gloversville, NY 12078 | 2009-06-24 |
| Find all providers in zip 12078 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801260617 | Braddock Pharmacy LLC | Hospice Care, Community Based | 236-01a Braddock Ave., Bellerose, NY 11426 | 2015-11-17 |
| 1033473848 | Pc Aide Plus, Inc. | Hospice Care, Community Based | 13893 Francis Lewis Blvd, Rosedale, NY 11422-1704 | 2012-06-26 |
| 1083890867 | Community Options Inc | Hospice Care, Community Based | 350 5th Ave Suite 1207, New York, NY 10118 | 2008-01-11 |
| 1750442513 | High Peaks Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 309 County Route 47 Ste 7, Saranac Lake, NY 12983 | 2006-12-13 |
| 1639255250 | Chautauqua Hospice and Palliative Care | Hospice Care, Community Based | 20 West Fairmount Ave, Lakewood, NY 14750-1702 | 2006-10-27 |
| 1780766220 | Hospice of Orleans, Inc. | Hospice Care, Community Based | 14080 State Route 31, Albion, NY 14411-9301 | 2006-10-20 |
| 1013001197 | Hospice of New York, LLC | Hospice Care, Community Based | 4518 Court Sq Ste 500, Long Island City, NY 11101-4347 | 2006-10-03 |
| 1912098666 | The Caring Coalition of Central New York | Hospice Care, Community Based | 990 7th North St, Liverpool, NY 13088-3148 | 2006-09-27 |
| 1477652113 | Niagara Hospice, Inc. | Hospice Care, Community Based | 4675 Sunset Dr, Lockport, NY 14094-1231 | 2006-09-21 |
| 1306941117 | Comfortcare of Cayuga County Inc | Hospice Care, Community Based | 1130 Corporate Drive, Auburn, NY 13021-1637 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
| City | GLOVERSVILLE |
| Zip Code | 12078 |
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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.