ARNOT OGDEN MEDICAL CENTER (NPI# 1568543510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568543510 |
Entity Type | Organization |
Organization Name | ARNOT OGDEN MEDICAL CENTER |
Other Organization Name | ST. JOSEPH'S ARU |
Practice Address |
555 Saint Josephs Blvd Elmira NY 14901-3223 |
Practice Telephone | 6077336541 |
Mailing Telephone | 6077336541 |
Mailing Fax Number | 6077859191 |
Enumeration Date | 2006-10-18 |
Last Update Date | 2019-04-01 |
Authorized Official Name | MR. JONATHAN I. LAWRENCE (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6077374100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 0701001H | NY | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00363126 | 05 | |
NY | BLUE CROSS | 33V108 | 01 |
Other Name | Type Code |
---|---|
St. Joseph's ARU | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811202385 | Arnot Ogden Medical Center | General Acute Care Hospital | 68 Colonial Drive, Suite 100, Horseheads, NY 14845 | 2010-08-09 |
1982057683 | Arnot Ogden Medical Center | General Acute Care Hospital | 600 Roe Ave, Elmira, NY 14905-1629 | 2016-07-18 |
1184059537 | Arnot Ogden Medical Center | General Acute Care Hospital | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2013-09-04 |
1780989368 | Arnot Ogden Medical Center | Clinic/Center | 602 Ivy St, Elmira, NY 14905-1646 | 2011-01-13 |
1801107198 | Arnot Ogden Medical Center | General Acute Care Hospital | 100 John Roemmelt Dr, Horseheads, NY 14845-8301 | 2010-07-01 |
1720319668 | Arnot Ogden Medical Center | Clinic/Center | 600 Roe Ave, Elmira, NY 14905-1629 | 2010-01-15 |
1679733083 | Arnot Ogden Medical Center | Clinic/Center | 600 Roe Ave, Elmira, NY 14905-1629 | 2008-06-10 |
1265580286 | Arnot Ogden Medical Center | Physical Medicine & Rehabilitation | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2007-01-08 |
1518998855 | Arnot Ogden Medical Center | Rehabilitation Unit | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2006-07-05 |
1326079666 | Arnot Ogden Medical Center | Psychiatric Unit | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2006-07-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ARNOT OGDEN MEDICAL CENTER | 600 Roe Ave, Elmira, NY 14905-1629 |
New York State Corporations | ARNOT OGDEN MEDICAL CENTER | 600 Roe Avenue, Elmira, Ny 14905 |
Street Address |
555 SAINT JOSEPHS BLVD |
City | ELMIRA |
State | NY |
Zip Code | 14901-3223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740256809 | Sydney Welt | Internal Medicine | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2006-02-27 |
1467092452 | Madison Kathryn Gluck | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3256 | 2020-01-08 |
1992345003 | Rachel Bush | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2020-01-07 |
1831742816 | Nes Medical Services of New York PC | Emergency Medicine | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2019-07-19 |
1841759529 | Amanda M Northrop | Occupational Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2019-03-13 |
1245708056 | Emily Pauline Clark | Physical Medicine & Rehabilitation | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-11-09 |
1821563347 | Tarah Marie Babcock | Physical Therapist | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-10-11 |
1992289888 | Sarah Jessica Osburn | Physical Therapy Assistant | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-09-18 |
1770069536 | St. Joseph's Hospital | Clinic/Center | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-07-16 |
1942707583 | Andrey Takhtovich | Student in an Organized Health Care Education/Training Program | 555 Saint Josephs Blvd, Elmira, NY 14901-3223 | 2018-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
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Taxonomy Code | 276400000X |
Grouping | Hospital Units |
Classification | Rehabilitation, Substance Use Disorder Unit |
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
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1225654494 | Brooks - Tlc Hospital System, Inc. | Rehabilitation, Substance Use Disorder Unit | 7020 Erie Road, Derby, NY 14047 | 2020-06-23 |
1285170514 | Mount Sinai Beth Isreal | Rehabilitation, Substance Use Disorder Unit | 429-35 Second Avenue, Ny, NY 10010-3101 | 2017-01-10 |
1760651855 | The Kingston Hospital | Rehabilitation, Substance Use Disorder Unit | 2 Barbarosa Ln, Kingston, NY 12401-1220 | 2008-02-22 |
1851452767 | Hudson Mohawk Recovery Center | Rehabilitation, Substance Use Disorder Unit | 1724 5th Ave, Troy, NY 12180-3320 | 2006-12-13 |
1659443000 | St. Peter's Health Care | Rehabilitation, Substance Use Disorder Unit | 636 New Loudon Rd, Latham, NY 12110-4002 | 2006-11-14 |
1740366806 | Kings County Hospital Center | Rehabilitation, Substance Use Disorder Unit | 21-49-46 Street, Astoria, NY 11105 | 2006-10-31 |
1417940719 | Delaware Valley Hospital, Inc | Rehabilitation, Substance Use Disorder Unit | 1 Titus Pl, Walton, NY 13856-1457 | 2005-08-23 |
1568023687 | Upmc Chautauqua At Wca | Rehabilitation, Substance Use Disorder Unit | 51 Glasgow Ave, Jamestown, NY 14701-6440 | 2019-06-28 |
1811368368 | The St. Lukes Roosevelt Hospital Center | Rehabilitation, Substance Use Disorder Unit | 440 W 114th St, New York, NY 10025-1796 | 2015-10-09 |
1356754857 | St Lukes Hospital | Rehabilitation, Substance Use Disorder Unit | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2014-06-03 |
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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.