AMSTERDAM MEMORIAL HOSPITAL NPI 1326102005
Medicare Defined Swing Bed Unit in Amsterdam, NY
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 Name | AMSTERDAM MEMORIAL HOSPITAL |
Provider Location Address | 4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010 |
Provider Mailing Address | 4988 STATE HIGHWAY 30 PO BOX 517 AMSTERDAM, NY 12010 |
NPI Entity Type | Organization |
Is Sole Proprietor? | N/A |
Is Organization Subpart? | No |
Enumeration Date | 12-20-2006 |
Last Update Date | 08-22-2020 |
Primary Taxonomy
Taxonomy Code | 275N00000X |
Classification | Medicare Defined Swing Bed Unit |
Type | Hospital Units |
License No. | 2801000H |
License State | NY |
Taxonomy Description | A 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
Mailing Address
AMSTERDAM MEMORIAL HOSPITAL
4988 STATE HIGHWAY 30
PO BOX 517
AMSTERDAM, NY
ZIP 12010
Phone: (518) 842-3100
Fax: (518) 841-3678
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 |
---|---|---|
000000005323 | OTHER (01) | NY |
0129 | OTHER (01) | NY |
000902 | OTHER (01) | NY |
6450165 | OTHER (01) | NY |
000400002001 | OTHER (01) | NY |
000400002003 | OTHER (01) | NY |
00381420 | MEDICAID (05) | NY |
10005722 | OTHER (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 |
---|---|---|---|
1093707846 | DR. 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 |
1679547970 | MR. JOHN RUIZ MD Individual | Family Medicine | 4988 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 Practitioner | 4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010 (518) 841-3413 |
1619172426 | MRS. MICHELE OCHAL PA Individual | Physician Assistant | 4988 STATE HIGHWAY 30 ST. MARY'S HOSPITAL, MEMORIAL CAMPUS FAMILY HEALTH CENT AMSTERDAM, NY 12010 (518) 841-3770 |
1366683344 | ST. MARY'S HEALTHCARE Organization | Skilled Nursing Facility | 4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010 (518) 841-3572 |
1427290709 | ST. MARY'S HEALTHCARE Organization | Rehabilitation Unit | 4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010 (518) 842-3100 |
1720051428 | MOHAWK VALLEY PHYSICAL MEDICINE AND REHAB Organization | Physical Medicine & Rehabilitation | 4988 STATE HIGHWAY 30 ST. MARY'S HOSPITAL MEMORIAL CAMPUS AMSTERDAM, NY 12010 (518) 841-3481 |
1538364237 | DR. JOHN LEWIS FEDULLO D. O. Individual | Physical Medicine & Rehabilitation | 4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010 (518) 841-3481 |
1477992998 | DR. MAHVASH MAJEED M.D. Individual | Pediatrics | 4988 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 Medicine | 4988 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 |
1043347784 | MR. THOMAS MICHAEL DOOLIN PA-C Individual | Physician Assistant | 4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010 (518) 841-3580 |
1558690941 | DR. 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 Medicine | 4988 STATE HIGHWAY 30 AMSTERDAM, NY 12010 (518) 843-5793 |
1508419102 | MRS. 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 Therapist | 4988 STATE HIGHWAY 30 CHILDREN'S MENTAL HEALTH OP CLINIC AMSTERDAM, NY 12010 (518) 841-3747 |
1659723708 | MS. EMILIE MARIE DECK FNP-C Individual | Nurse Practitioner (Family) | 4988 STATE HIGHWAY 30 FIRST FLOOR AMSTERDAM, NY 12010 (518) 841-3565 |
1184616930 | MOHAWK 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.