ALICE HYDE MEDICAL CENTER (NPI# 1578627865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578627865 |
| Entity Type | Organization |
| Organization Name | ALICE HYDE MEDICAL CENTER |
| Other Organization Name | ALICE HYDE DIALYSIS CENTER |
| Practice Address |
133 Park St Malone NY 12953-1243 |
| Mailing Address |
133 Park St Malone NY 12953-1220 |
| Practice Telephone | 5184812212 |
| Mailing Telephone | 5184812212 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | SANDRA M MACDONALD (CONTROLLER) |
| Authorized Official Telephone | 5184812212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
1624000H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00354114 | 05 |
| Other Name | Type Code |
|---|---|
| Alice Hyde Dialysis Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1568735660 | Alice Hyde Medical Center | Dermatology | 133 Park St, Malone, NY 12953-1243 | 2012-02-21 |
| 1730401381 | Alice Hyde Medical Center | Internal Medicine | 133 Park St, Malone, NY 12953-1243 | 2010-02-24 |
| 1356441349 | Alice Hyde Medical Center | Skilled Nursing Facility | 133 Park St, Malone, NY 12953-1220 | 2006-09-22 |
| 1114954682 | Alice Hyde Medical Center | Clinic/Center | 133 Park St, Malone, NY 12953-1220 | 2006-06-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALICE HYDE MEDICAL CENTER | 133 Park St, Malone, NY 12953-1243 |
| New York State Corporations | ALICE HYDE MEDICAL CENTER | 115 Park Street, Malone, Ny 12953 |
| Street Address |
133 PARK ST |
| City | MALONE |
| State | NY |
| Zip Code | 12953-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557799 | William D Mccarthy | Nurse Anesthetist, Certified Registered | 133 Park St, Malone, NY 12953-1220 | 2005-09-02 |
| 1811537608 | Qi Si Xue | Nurse Practitioner | 133 Park St, Malone, NY 12953-1244 | 2020-01-09 |
| 1558897801 | Shalin Nitin Shah | Internal Medicine | 133 Park St, Malone, NY 12953-1244 | 2017-05-05 |
| 1437696390 | Alice Hyde Medical Center Eip | Early Intervention Provider Agency | 133 Park St, Malone, NY 12953-1244 | 2017-01-30 |
| 1699127795 | Brianne Jeror | Nurse Practitioner | 133 Park St, Malone, NY 12953-1244 | 2016-07-13 |
| 1598148967 | Joshua A Craig | Nurse Practitioner | 133 Park St, Malone, NY 12953-1243 | 2015-07-03 |
| 1194107789 | Jessica Marie Robinson | Nurse Practitioner | 133 Park St, Malone, NY 12953-1243 | 2015-06-19 |
| 1215364856 | Megan Leelannee Bristol | Pharmacist | 133 Park St, Malone, NY 12953-1243 | 2013-09-27 |
| 1598105942 | Yasmina Tbeur | Internal Medicine | 133 Park St, Malone, NY 12953-1244 | 2013-06-30 |
| 1578907044 | Ann Griffith | Nurse Practitioner | 133 Park St, Malone, NY 12953-1243 | 2013-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264356 | Ruth Ann Williamson | Nurse Practitioner | 31 Sixth St., Malone, NY 12953 | 2020-04-20 |
| 1780203760 | Heather Lynn Lauzon | Peer Specialist | 15 Fouth St, Malone, NY 12953 | 2020-04-10 |
| 1245717115 | Darlean James | Family Medicine | 183 Park St Ste 5678, Malone, NY 12953 | 2018-07-24 |
| 1164929212 | Cheryl Ann Grant | Registered Nurse | 15 Fourth Street, Malone, NY 12953 | 2018-04-06 |
| 1811408826 | Nancy Denis | Registered Nurse | 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 | 2017-10-17 |
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1578092185 | Shanna Lee Cayea | Peer Specialist | 31 6th Street, Malone, NY 12953 | 2017-06-07 |
| 1184007809 | Alice Hyde Medical Center | Home Health | 45 Sixth St, Malone, NY 12953 | 2015-06-30 |
| 1427303353 | Melissa J Benardot | Nurse Practitioner | 380 Cty Rt 57, Community Health Center, Malone, NY 12953 | 2012-07-17 |
| 1013272202 | Shafiu Oladele Ololade | Internal Medicine | 10 Third Street, Malone, NY 12953 | 2012-07-12 |
| Find all providers in zip 12953 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033533492 | Carolyn Fafinski | General Acute Care Hospital | 138 Fizell Ave, Dunkirk, NY 14048-1371 | 2014-02-05 |
| 1750657847 | Suny Downstate | General Acute Care Hospital | 7420 Ridge Blvd, Apt 1c, Brooklyn, NY 11209-2356 | 2012-03-22 |
| 1184998874 | Jacobi Medical Center | General Acute Care Hospital | 1400 Pelham Pkwy, Internal Medicine Dept, Bronx, NY 10461 | 2012-02-28 |
| 1497063986 | Emlhurst Hospital Center | General Acute Care Hospital | 219 Lakeside Trl, Ridge, NY 11961-2209 | 2010-09-17 |
| 1801117668 | Richmond Univesity | General Acute Care Hospital | 49 Autumn Cir, Yonkers, NY 10703-1605 | 2010-06-16 |
| 1982861605 | Brookdale University Hospital | General Acute Care Hospital | 16410 84th Ave Apt 4k, Jamaica, NY 11432-1803 | 2008-05-20 |
| 1891862579 | Bassett Hospital of Schoharie County | General Acute Care Hospital | 178 Grandview Dr, Cobleskill, NY 12043-5144 | 2006-11-29 |
| 1013985399 | St James Hospital | General Acute Care Hospital | 7329 Seneca Road North, Hornell, NY 14843 | 2006-03-10 |
| 1336145168 | Nathan Littauer Hospital Association | General Acute Care Hospital | 99 E State St, Gloversville, NY 12078-1203 | 2005-06-27 |
| 1588106223 | Healthalliance Hospital | General Acute Care Hospital | 396 Broadway, Kingston, NY 12401-4626 | 2016-11-11 |
| 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.