ELIZABETHTOWN COMMUNITY HOSPITAL
NPI 1407061591
Medicare Defined Swing Bed Unit in Elizabethtown, NY

Active since May 11, 2007CLIA 33D2327074 · Waiver
75 PARK ST, ELIZABETHTOWN, NY 12932(518) 873-6377(518) 873-2315 Get Directions Write a Review

NPPES record last updated: February 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elizabethtown Community Hospital NPPES

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

ELIZABETHTOWN COMMUNITY HOSPITAL (NPI 1407061591) is a healthcare organization registered as a medicare defined swing bed unit in Elizabethtown, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists John R. Remillard, President, as its authorized official.

NPPES Registry Identity

NPI1407061591
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameELIZABETHTOWN COMMUNITY HOSPITAL
Location Address75 PARK STElizabethtown, NY 12932-2300
Mailing Address75 Park StElizabethtown, NY 12932 · (518) 873-6377 · Fax (518) 873-2315
Fax(518) 873-2315
Organization SubpartNo
Authorized OfficialJohn R. RemillardPresident · (518) 873-3002
Enumeration DateMay 11, 2007
Last NPPES UpdateFebruary 17, 2024
NPPES CertifiedFebruary 17, 2024
✔ NPI 1407061591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition
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.
75 PARK ST, Elizabethtown, NY 12932

Other Identifiers 1

Medicaid00354274NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabethtown Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Elizabethtown Community Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 7

Emergency Medicine8
Diagnostic Radiology2
Interventional Radiology1
Medical Oncology1
Nurse Practitioner1
Obstetrics/Gynecology1
Orthopedic Surgery1

Clinicians, nearest first (15)

Obstetrics/Gynecology
NPI 1467484543
75 PARK STREET GYN CLINIC
Elizabethtown, NY 12932
(518) 873-6377
✔ PECOSSame address
Orthopedic Surgery
NPI 1912905068
203 OLD MILITARY RD
Lake Placid, NY 12946
(518) 523-1327
✔ PECOS✔ Accepts Medicare20 mi
Emergency Medicine
NPI 1649664913
111 COLCHESTER AVE
Burlington, VT 05401
(802) 847-2434
✔ PECOS✔ Accepts Medicare27 mi
Emergency Medicine
NPI 1922348655
111 COLCHESTER AVE
Burlington, VT 05401
(802) 847-2434
✔ PECOS✔ Accepts Medicare27 mi
Emergency Medicine
NPI 1316444326
111 COLCHESTER AVE
Burlington, VT 05401
(802) 847-2434
✔ PECOS✔ Accepts Medicare27 mi
Emergency Medicine
NPI 1366934432
111 COLCHESTER AVE
Burlington, VT 05401
(802) 847-2434
✔ PECOS✔ Accepts Medicare27 mi
Diagnostic Radiology
NPI 1992261887
16 DEGRANDPRE WAY STE 600
Plattsburgh, NY 12901
(518) 563-0490
✔ PECOS✔ Accepts Medicare34 mi
Diagnostic Radiology
NPI 1265925630
16 DEGRANDPRE WAY STE 600
Plattsburgh, NY 12901
(518) 563-0490
✔ PECOS✔ Accepts Medicare34 mi
Emergency Medicine
NPI 1649699125
75 BEEKMAN ST
Plattsburgh, NY 12901
(518) 561-2000
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1760167712
75 BEEKMAN ST
Plattsburgh, NY 12901
(518) 561-2000
✔ PECOS✔ Accepts Medicare34 mi
Emergency Medicine
NPI 1538502901
50 LEROY ST
Potsdam, NY 13676
(315) 265-3300
✔ PECOS✔ Accepts Medicare76 mi
Interventional Radiology
NPI 1669793121
750 E ADAMS ST
Syracuse, NY 13210
(410) 218-7085
✔ PECOS✔ Accepts Medicare151 mi
Medical Oncology
NPI 1043672140
12902 USF MAGNOLIA DR
Tampa, FL 33612
(813) 745-7365
✔ PECOS✔ Accepts Medicare1,216 mi
Emergency Medicine
NPI 1912439399
777 BANNOCK STREET, MC 0108 DENVER HEALTH MEDICAL CENTER
Denver, CO 80204
(303) 602-5183
✔ PECOS✔ Accepts Medicare1,636 mi
Emergency Medicine
NPI 1083148837
30 N 1900 E 1C026 DEPARTMENT OF EMERGENCY MEDICINE
Salt Lake City, UT 84123
(801) 581-2730
✔ PECOS✔ Accepts Medicare1,950 mi

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 Waiver 33D2327074

Elizabethtown Community Hospital Transport Service · Elizabethtown, NY
Active · expires Mar 26, 2027
CLIA Number33D2327074
Laboratory TypeAmbulance
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Madison L. Daly
Laboratory Phone(518) 873-6377
Laboratory LocationElizabethtown Community Hospital Transport Service75 Park St, Elizabethtown, NY 12932
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elizabethtown Community Hospital's NPI number?

The NPI number for Elizabethtown Community Hospital is 1407061591. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Elizabethtown Community Hospital located?

Elizabethtown Community Hospital is located at 75 Park St, Elizabethtown, NY 12932. The listed phone number is (518) 873-6377.

What is Elizabethtown Community Hospital's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Is Elizabethtown Community Hospital enrolled in Medicare?

Yes. Elizabethtown Community Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elizabethtown Community Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 7 Medicare specialties reassign their Medicare billing to Elizabethtown Community Hospital. 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 Emergency Medicine (8), Diagnostic Radiology (2) and Interventional Radiology (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elizabethtown Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2327074) 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 Elizabethtown Community Hospital was last updated on February 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.