AMSTERDAM MEMORIAL HOSPITAL NPI 1326102005

Medicare Defined Swing Bed Unit in Amsterdam, NY

NPI 1326102005 Organization Medicare Defined Swing Bed Unit

About AMSTERDAM MEMORIAL HOSPITAL

Amsterdam Memorial Hospital is a provider established in Amsterdam, New York specializing in medicare defined swing bed unit. The NPI number of Amsterdam Memorial Hospital is 1326102005 and was assigned on December 2006. The practitioner's primary taxonomy code is 275N00000X with license number 2801000H (NY). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Donald Massey (Ceo)

NPI

1326102005

Provider NameAMSTERDAM MEMORIAL HOSPITAL
Provider Location Address4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010
Provider Mailing Address4988 STATE HIGHWAY 30 PO BOX 517 AMSTERDAM, NY 12010
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-20-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code275N00000X
ClassificationMedicare Defined Swing Bed Unit
TypeHospital Units
License No.2801000H
License StateNY
Taxonomy DescriptionA unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

Business Address

AMSTERDAM MEMORIAL HOSPITAL
4988 STATE HIGHWAY 30
AMSTERDAM, NY
ZIP 12010
Phone: (518) 842-3100
Fax: (518) 841-3678

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Mailing Address

AMSTERDAM MEMORIAL HOSPITAL
4988 STATE HIGHWAY 30
PO BOX 517
AMSTERDAM, NY
ZIP 12010
Phone: (518) 842-3100
Fax: (518) 841-3678



Authorized Official

Authorized Official NameMR. DONALD MASSEY
Authorized Official TitleCEO
Authorized Official Phone(518) 842-3100

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000000005323OTHER (01)NY
0129OTHER (01)NY
000902OTHER (01)NY
6450165OTHER (01)NY
000400002001OTHER (01)NY
000400002003OTHER (01)NY
00381420MEDICAID (05)NY
10005722OTHER (01)NY

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093707846DR. JAMSHAID A MINHAS MD
Individual
Psychiatry & Neurology (Neurology)4988 STATE HIGHWAY 30 AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
(518) 428-5119
1336130384 KEVIN LAU MD
Individual
Radiology (Diagnostic Radiology)4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 841-7203
1679547970MR. JOHN RUIZ MD
Individual
Family Medicine4988 STATE HIGHWAY 30 ST. MARY'S HOSPITAL, MEMORIAL CAMPUS FAM HLTH CNTR
AMSTERDAM, NY 12010
(518) 841-3770
1689714354 JANE K HUBSCHMITT NP
Individual
Nurse Practitioner4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 841-3413
1619172426MRS. MICHELE OCHAL PA
Individual
Physician Assistant4988 STATE HIGHWAY 30 ST. MARY'S HOSPITAL, MEMORIAL CAMPUS FAMILY HEALTH CENT
AMSTERDAM, NY 12010
(518) 841-3770
1366683344ST. MARY'S HEALTHCARE
Organization
Skilled Nursing Facility4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 841-3572
1427290709ST. MARY'S HEALTHCARE
Organization
Rehabilitation Unit4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 842-3100
1720051428MOHAWK VALLEY PHYSICAL MEDICINE AND REHAB
Organization
Physical Medicine & Rehabilitation4988 STATE HIGHWAY 30 ST. MARY'S HOSPITAL MEMORIAL CAMPUS
AMSTERDAM, NY 12010
(518) 841-3481
1538364237DR. JOHN LEWIS FEDULLO D. O.
Individual
Physical Medicine & Rehabilitation4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 841-3481
1477992998DR. MAHVASH MAJEED M.D.
Individual
Pediatrics4988 STATE HIGHWAY 30 1ST FLOOR
AMSTERDAM, NY 12010
(518) 841-3565
1184727653 CHERYL SPARKS ANP
Individual
Nurse Practitioner (Family)4988 STATE HIGHWAY 30 AMSTERDAM MEMORIAL HEALTH CENTER
AMSTERDAM, NY 12010
(518) 843-4356
1902909476 MICHAEL M SHERIDAN DO
Individual
Family Medicine4988 STATE HIGHWAY 30 AMSTERDAM MEMORIAL HEALTH CENTER
AMSTERDAM, NY 12010
(518) 843-5793
1205944865 BARBARA LOUCKS ANP
Individual
Nurse Practitioner (Family)4988 STATE HIGHWAY 30 AMSTERDM FAMILY HEALTH CENTER
AMSTERDAM, NY 12010
(518) 843-5793
1043347784MR. THOMAS MICHAEL DOOLIN PA-C
Individual
Physician Assistant4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 841-3580
1558690941DR. BETH DONOVAN BLAHA PSY.D.
Individual
Psychologist (Clinical)4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 843-7538
1437509478 MEGAN SUMIGRAY M.D.
Individual
Family Medicine4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 843-5793
1508419102MRS. DESMONIQUE CHANTI HOMS
Individual
Nurse Practitioner (Psychiatric/Mental Health)4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
(518) 421-0286
1891349114 ADRIANNA LYNNE HINE LCAT
Individual
Art Therapist4988 STATE HIGHWAY 30 CHILDREN'S MENTAL HEALTH OP CLINIC
AMSTERDAM, NY 12010
(518) 841-3747
1659723708MS. EMILIE MARIE DECK FNP-C
Individual
Nurse Practitioner (Family)4988 STATE HIGHWAY 30 FIRST FLOOR
AMSTERDAM, NY 12010
(518) 841-3565
1184616930MOHAWK VALLEY MULTISPECIALTY MEDICAL GROUP PLLC
Organization
Psychiatry & Neurology (Neurology)4988 STATE HIGHWAY 30 AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
(518) 428-5119

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.