Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since May 18, 2017
117 W MAIN ST, WATERVILLE, NY 13480(315) 841-4184 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Nov 2, 2023, May 18, 2017 (3 updates tracked since 2017).

About Community Memorial Hospital NPPES

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

COMMUNITY MEMORIAL HOSPITAL (NPI 1477080604) is a healthcare organization registered as a rural health in Waterville, New York and active in the NPI registry since May 2017. The organization lists Tracy Frank, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477080604
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMMUNITY MEMORIAL HOSPITAL
Location Address117 W MAIN STWaterville, NY 13480-1165
Mailing Address150 Broad StHamilton, NY 13346-9575 · (315) 824-6081
Organization SubpartNo
Authorized OfficialTracy FrankCfo · (315) 824-6550
Enumeration DateMay 18, 2017
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
NPI 1477080604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
117 W MAIN ST, Waterville, NY 13480

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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 Community Memorial Hospital's NPI number?

The NPI number for Community Memorial Hospital is 1477080604. It was assigned to this organization in the NPPES registry on May 18, 2017.

Where is Community Memorial Hospital located?

Community Memorial Hospital is located at 117 W Main St, Waterville, NY 13480. The listed phone number is (315) 841-4184.

What is Community Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Community Memorial Hospital was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.