CHENANGO MEMORIAL HOSPITAL INC (NPI# 1568975159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568975159 |
| Entity Type | Organization |
| Organization Name | CHENANGO MEMORIAL HOSPITAL INC |
| Practice Address |
179 N Broad St Norwich NY 13815-1019 |
| Practice Telephone | 6073374111 |
| Practice Fax Number | 6073374327 |
| Mailing Telephone | 6073374111 |
| Mailing Fax Number | 6073374327 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | WENDY L WHITE (MANAGER, QUALITY IMPROVEMENT) |
| Authorized Official Telephone | 6073374314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02322810 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26 Conkey Ave, Norwich, NY 138151756 | 6073374747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770593956 | Chenango Memorial Hospital Inc | General Acute Care Hospital | 179 N Broad St, Norwich, NY 13815-1019 | 2006-08-09 |
| Street Address |
179 N BROAD ST |
| City | NORWICH |
| State | NY |
| Zip Code | 13815-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431993 | Ronald H Sacks | Radiology | 179 N Broad St, Norwich, NY 13815-1019 | 2005-07-15 |
| 1770138448 | Jessica Marie Banning | Physical Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2019-08-08 |
| 1467007799 | Sayde Shea Gaydorus | Occupational Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2019-08-05 |
| 1336625243 | Alyssa Clare Macintosh | Obstetrics & Gynecology | 179 N Broad St, Norwich, NY 13815-1019 | 2018-07-13 |
| 1154831295 | Janice Minutti | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2017-10-03 |
| 1538678388 | Ektaben Miteshkumar Chauhan | Physical Therapist | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-25 |
| 1194234005 | Kristen Kay Menard | Nurse Practitioner | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-22 |
| 1679092779 | Lindsay Jae Skiechs | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-11 |
| 1154771681 | Nicholas Trinkle | Dietitian, Registered | 179 N Broad St, Norwich, NY 13815-1019 | 2016-06-15 |
| 1659744258 | Cynthia Strong Stratton | Registered Nurse | 179 N Broad St, Norwich, NY 13815-1019 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304752 | Amanda Butler | Social Worker | Chenango County Community Mental Hygiene Services, 5 Court Street, Suite 42 County Office Building, Norwich, NY 13815 | 2019-09-10 |
| 1235793548 | Kay Marie Drebert | Social Worker | Chenango County Community Mental Hygiene Services - Cou, Suite 42, Norwich, NY 13815 | 2019-04-23 |
| 1497230460 | Jessica Lynn Elliott | Social Worker | 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 | 2018-09-26 |
| 1801387543 | Heather Rae Kolb | Social Worker | 5 Court St. Suite 42, Noriwch, NY 13815 | 2018-05-29 |
| 1386162006 | Courtney Jean Brown | Licensed Practical Nurse | 131 Railroad Ave, Norwich, NY 13815 | 2017-09-01 |
| 1891225827 | Fanny Sacks | Chiropractor | 4939 State Hwy 23, Norwich, NY 13815 | 2017-06-13 |
| 1558817916 | Erika J Rossi | Nurse Practitioner | 55 Calvary Drive, Norwich, NY 13815 | 2016-08-26 |
| 1013367341 | Irina Gordeyeva | Social Worker | 5 Court Street Suite 42, Chenango County Behavioral Health Services, Norwich, NY 13815 | 2016-06-17 |
| 1104287390 | Amanda Leigh Scott | Massage Therapist | 409 County Rd 33, Norwich, NY 13815 | 2016-03-15 |
| 1962886119 | Abigail Goings | Speech-Language Pathologist | 54 Borden Ave, C 38, Norwich, NY 13815 | 2015-07-17 |
| Find all providers in zip 13815 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.