MASSENA HOSPITAL INC (NPI# 1972604460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972604460 |
| Entity Type | Organization |
| Organization Name | MASSENA HOSPITAL INC |
| Other Organization Name | SLHS MASSENA, INC |
| Practice Address |
1 Hospital Dr Massena NY 13662-1056 |
| Practice Telephone | 3157694200 |
| Practice Fax Number | 3157694353 |
| Mailing Telephone | 3157694200 |
| Mailing Fax Number | 3157694615 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | DAVID BENDER (CEO/AO) |
| Authorized Official Telephone | 3157694200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| DBA MASSENA MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| Massena Memorial Hospital | Doing Business As Name - Organization |
| SLHS Massena, Inc | Former Legal Business Name - Organization |
| Town of Massena dba Massena Memorial Hospital | Former Legal Business Name - Organization |
| Street Address |
1 HOSPITAL DR |
| City | MASSENA |
| State | NY |
| Zip Code | 13662-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093368615 | Katherine Daigneault | Physician Assistant | 1 Hospital Dr, Massena, NY 13662-1056 | 2019-07-23 |
| 1831654219 | David Lawrence Mccarthy | Physician Assistant | 1 Hospital Dr, Massena, NY 13662-1056 | 2019-02-09 |
| 1174013197 | Brenda L Crowder | Physician Assistant | 1 Hospital Dr, Massena, NY 13662 | 2018-05-15 |
| 1902348816 | Houman Farzin | General Practice | 1 Hospital Dr, Massena, NY 13662-1056 | 2016-11-08 |
| 1861891814 | Pamela Sue Leary | Physician Assistant | 1 Hospital Dr, Massena, NY 13662-1056 | 2014-08-15 |
| 1689080475 | Wai Kyaw | Hospitalist | 1 Hospital Dr, Massena, NY 13662-1056 | 2014-07-01 |
| 1427478759 | Mona Chapman | Speech-Language Pathologist | 1 Hospital Dr, Massena, NY 13662-1056 | 2014-04-25 |
| 1720401318 | Myo S Win | Internal Medicine | 1 Hospital Dr, Massena, NY 13662-1056 | 2014-02-03 |
| 1154753945 | Carol R Miller | Nurse Practitioner | 1 Hospital Dr, Massena, NY 13662-1056 | 2013-08-02 |
| 1568714905 | Elizabeth Joan Morgan | Nutritionist | 1 Hospital Dr, Massena, NY 13662-1056 | 2012-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796380 | Emily Lashomb | Physical Medicine & Rehabilitation | Mmh Outpatient Center/pt, 271 Andrews St, Suite 269, Massena, NY 13662 | 2019-12-10 |
| 1689059727 | Cassandra Lynn Lashomb | Physician Assistant | St Lawrence University, 23 Romoda Drive, Canton, NY 13662 | 2015-07-29 |
| 1497163885 | Ryan Normal Degon | Specialist/Technologist | Park Avenue East, Work-fit At Alcoa Massena Operations, Massena, NY 13662 | 2014-07-29 |
| 1821419839 | Beverly Elaine Eastwood | Registered Nurse | 25 Owl Avenue, Madison Elementary School, Massena, NY 13662 | 2013-12-17 |
| 1083969117 | David Disalvo | Physical Therapist | Mh Outpatient Ctr/physical Therapy, 271 Andrews St, Suite 269, Massena, NY 13662 | 2012-07-15 |
| 1710205935 | Robin G Taylor | Counselor | 221 Harrowgate Commons, Massena, NY 13662 | 2010-05-12 |
| 1821291295 | Amanda Leigh Allen | Pharmacist | 303 Main St., Massena, NY 13662 | 2007-06-06 |
| 1255450664 | Cheryll A Terrance | Counselor | 27 Brighton St, Massena, NY 13662 | 2007-03-28 |
| 1033238704 | Richard C Summermatter | Obstetrics & Gynecology | North Country Women's Health, 15 Hospital Dr, Massena, NY 13662 | 2007-03-27 |
| 1356480610 | Joan Sharon Delarm | Social Worker | 74 Andrews St, Massena, NY 13662 | 2007-02-05 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073883948 | Town of Massena | General Acute Care Hospital | 1 Hospital Dr, Massena, NY 13662-1056 | 2012-01-09 |
| 1184805301 | Massena Memorial Hospital Crna | General Acute Care Hospital | 1 Hospital Dr, Massena, NY 13662-1056 | 2007-11-15 |
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|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
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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.