SWING BED PROGRAM
NPI 1003814641
General Acute Care Hospital - Critical Access in Alexandria Bay, NY

Active since July 08, 2005CLIA 33D0663773 · Certificate of Compliance
4 FULLER ST, ALEXANDRIA BAY, NY 13607(315) 482-2511(315) 482-4981 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2022, Sep 30, 2020, Aug 7, 2020 and 1 more (4 updates tracked since 2019).

About Swing Bed Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SWING BED PROGRAM (NPI 1003814641) is a healthcare organization registered as a critical access in Alexandria Bay, New York and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Emily Mastaler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003814641
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameRIVER HOSPITAL, INC.
Location Address4 FULLER STAlexandria Bay, NY 13607-1316
Mailing Address4 Fuller StAlexandria Bay, NY 13607-1316 · (315) 482-2511 · Fax (315) 482-4981
Fax(315) 482-4981
Organization SubpartNo
Authorized OfficialEmily MastalerCeo · (315) 286-9003
Enumeration DateJuly 8, 2005
Last NPPES UpdateSeptember 13, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1003814641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
Licenses Licensed in NY · 2221700C Licensed in NY · 2221001N
4 FULLER ST, Alexandria Bay, NY 13607

Other Names 1

Other NameSwing Bed Program

Other Identifiers 1

Medicaid02392854NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0663773

River Hospital Laboratory · Alexandria Bay, NY
Active · expires Mar 26, 2027
CLIA Number33D0663773
Laboratory TypeHospital
Certificate Effective DateAugust 28, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Christian N. Ezidiegwu
Laboratory Phone(315) 482-1114
Laboratory LocationRiver Hospital Laboratory4 Fuller Street, Alexandria Bay, NY 13607
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Physician Assistant
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Psychiatry & Neurology (Psychiatry)
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Social Worker
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Social Worker
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Radiology (Diagnostic Radiology)
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Physician Assistant
4 FULLER ST
ALEXANDRIA BAY, NY 13607
Social Worker
4 FULLER ST
ALEXANDRIA BAY, NY 13607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River Hospital, Inc.'s NPI number?

The NPI number for River Hospital, Inc. is 1003814641. It was assigned to this organization in the NPPES registry on July 8, 2005. The provider is also known as Swing Bed Program.

Where is River Hospital, Inc. located?

River Hospital, Inc. is located at 4 Fuller St, Alexandria Bay, NY 13607. The listed phone number is (315) 482-2511.

What is River Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does River Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0663773) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River Hospital, Inc. was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.