CANTON-POTSDAM HOSPITAL NPI 1114104445

NPI Information

NPI: 1114104445
Provider Name: CANTON-POTSDAM HOSPITAL
Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
50 LEROY STREET
POTSDAM, NY
ZIP 13676
Phone: (315) 265-3300
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CANTON-POTSDAM HOSPITAL is a medicare defined swing bed unit in Potsdam, NY. The provider is 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. CANTON-POTSDAM HOSPITAL NPI is 1114104445. The provider is registered as an organization entity type.

The provider's business location address is:

50 LEROY STREET
POTSDAM, NY
ZIP 13676
Phone: (315) 265-3300
Fax: (315) 265-5745

The provider's authorized official is Donna Mcgregor .
The authorized official title is Cfo and has the following contact phone number (315) 261-5451.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 10/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	275N00000X	Medicare Defined Swing Bed Unit				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4429000H	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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