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: October 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Swing Bed Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

89

Medicare enrollment records show 89 clinicians reassign Medicare billing to Swing Bed Program, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner22
Clinical Social Worker8
Emergency Medicine8
Anesthesiology7
Internal Medicine6
Family Practice5
Psychiatry5
General Surgery4
14 other specialties24

Nearest to this location (20)

See all 89
Nurse Practitioner
NPI 1750012761
4 FULLER ST
Alexandria Bay, NY 13607
(315) 482-1277
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1518578368
4 FULLER ST
Alexandria Bay, NY 13607
(315) 482-1277
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1255824694
4 FULLER ST
Alexandria Bay, NY 13607
(315) 482-1277
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1316564099
4 FULLER ST
Alexandria Bay, NY 13607
(315) 482-2511
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1164016432
4 FULLER ST
Alexandria Bay, NY 13607
(315) 778-2928
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1003112947
4 FULLER ST
Alexandria Bay, NY 13607
(315) 482-1251
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962886812
4 FULLER ST
Alexandria Bay, NY 13607
(315) 482-1230
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1023087418
4 FULLER ST
Alexandria Bay, NY 13607
(315) 482-2511
✔ PECOSSame address
Nurse Practitioner
NPI 1407898356
4 FULLER STREET
Alexandria Bay, NY 13607
(315) 482-2094
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1376086488
11050 MOUNT BELVEDERE BLVD
Fort Drum, NY 13602
(315) 772-2015
✔ PECOS20 mi
Clinical Social Worker
NPI 1992787709
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS
Fort Drum, NY 13602
(315) 772-4025
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1801824255
300 CHAPMAN ST. RD.
Morristown, NY 13664
(315) 375-6546
✔ PECOS✔ Accepts Medicare22 mi
Emergency Medicine
NPI 1265096911
GOUVERNEUR HOSPITAL 77 WEST BARNEY STREET
Gouverneur, NY 13642
(315) 287-1000
✔ PECOS✔ Accepts Medicare23 mi
Psychiatry
NPI 1700297686
211 J.B. WISE PLAZA
Watertown, NY 13601
(315) 782-7445
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1710301304
513 WASHINGTON STREET SUITE 1
Watertown, NY 13601
(315) 788-2211
✔ PECOS✔ Accepts Medicare25 mi
Ophthalmology
NPI 1770533515
1815 STATE ST
Watertown, NY 13601
(315) 788-6070
✔ PECOS✔ Accepts Medicare26 mi
Emergency Medicine
NPI 1972814481
830 WASHINGTON ST
Watertown, NY 13601
(315) 786-7300
✔ PECOS✔ Accepts Medicare26 mi
Otolaryngology
NPI 1215949946
830 WASHINGTON ST
Watertown, NY 13601
(315) 788-1751
✔ PECOS✔ Accepts Medicare26 mi
Anesthesiology
NPI 1568444651
830 WASHINGTON ST
Watertown, NY 13601
(315) 785-8509
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1891855730
3 LYON PLACE
Ogdensburg, NY 13669
(315) 394-7542
✔ PECOS✔ Accepts Medicare32 mi
See all 89 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is River Hospital, Inc. enrolled in Medicare?

Yes. River Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through River Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 22 Medicare specialties reassign their Medicare billing to River Hospital, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (22), Clinical Social Worker (8) and Emergency Medicine (8). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4 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.