COMMUNITY MEMORIAL HOSPITAL
NPI 1477080604
Clinic/Center - Rural Health in Waterville, NY

NPI Status: Active since May 18, 2017

Contact Information

117 W MAIN ST
WATERVILLE, NY
ZIP 13480
Phone: (315) 841-4184

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  • Organization
  • Clinic/Center
  • Rural Health

About COMMUNITY MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Community Memorial Hospital, a primary care provider established in Waterville, New York operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1477080604 assigned on May 2017. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jason Liebel (Vp Finance)

NPI
1477080604
Provider Name
COMMUNITY MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
117 W MAIN ST WATERVILLE, NY 13480
Location Phone
(315) 841-4184
Mailing Address
150 BROAD ST HAMILTON, NY 13346
Mailing Phone
(315) 824-6081
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2017
Last Update Date
11-02-2023
Code Navigator

A primary care provider (PCP) like Community Memorial Hospital sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JASON LIEBEL

Authorized Official Title
VP FINANCE
Authorized Official Phone
(315) 824-6550

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477080604, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 0 + 8 + 0 + 6 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1477080604.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
117 W MAIN ST
WATERVILLE, NY 13480
Nurse Practitioner (Family)
117 W MAIN ST
WATERVILLE, NY 13480
Nurse Practitioner
117 W MAIN ST
WATERVILLE, NY 13480
Family Medicine
117 W MAIN ST, SUITE 1
WATERVILLE, NY 13480
Family Medicine
117 W MAIN ST
WATERVILLE, NY 13480
Nurse Practitioner (Family)
117 W MAIN ST
WATERVILLE, NY 13480
Internal Medicine
117 W MAIN ST
WATERVILLE, NY 13480

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477080604, enumerated as an "organization" on May 18, 2017.

The provider is located at 117 W MAIN ST WATERVILLE, NY 13480 and the phone number is (315) 841-4184.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.