SOLDIERS & SAILORS MEMORIAL HOSPITAL
NPI 1972101491
Family Medicine in Waterloo, NY

NPI Status: Active since October 16, 2020

Contact Information

367 E MAIN ST
WATERLOO, NY
ZIP 13165
Phone: (315) 787-4977

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  • Organization
  • Family Medicine
  • CLIA Number: 33D0172206
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-26-2027

About SOLDIERS & SAILORS MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Soldiers & Sailors Memorial Hospital, a primary care provider established in Waterloo, New York operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1972101491 assigned on October 2020. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Mr. Jeffrey H Morgan (Cfo & Treasurer)

NPI
1972101491
Provider Name
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
367 E MAIN ST WATERLOO, NY 13165
Location Phone
(315) 787-4977
Mailing Address
418 N MAIN ST PENN YAN, NY 14527
Mailing Phone
(315) 531-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-16-2020
Last Update Date
02-05-2026
Code Navigator

A primary care provider (PCP) like Soldiers & Sailors 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 

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

MR. JEFFREY H MORGAN

Authorized Official Title
CFO & TREASURER
Authorized Official Phone
(315) 787-4030

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0172206
Facility Type
Hospital
Certificate Effective Date
August 28, 1995
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. WILLIAM H. DEAN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Soldiers & Sailors Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1972101491, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 1 → 2 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 2 + 0 + 2 + 4 + 1 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1972101491.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
367 E MAIN ST
WATERLOO, NY 13165
Physician Assistant
367 E MAIN ST
WATERLOO, NY 13165
Family Medicine
367 E MAIN ST
WATERLOO, NY 13165
Nurse Practitioner (Family)
367 E MAIN ST, SENECA FAMILY HEALTH CENTER
WATERLOO, NY 13165
Nurse Practitioner
367 E MAIN ST
WATERLOO, NY 13165
Nurse Practitioner (Primary Care)
367 E MAIN ST
WATERLOO, NY 13165

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972101491, enumerated as an "organization" on October 16, 2020.

The provider is located at 367 E MAIN ST WATERLOO, NY 13165 and the phone number is (315) 787-4977.

Family Medicine with taxonomy code 207Q00000X.