SOLDIERS & SAILORS MEMORIAL HOSPITAL
NPI 1700552775
Family Medicine in Penn Yan, NY

NPI Status: Active since August 19, 2021

Contact Information

418 N MAIN ST
PENN YAN, NY
ZIP 14527
Phone: (315) 531-2000

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  • Organization
  • Family Medicine
  • CLIA Number: 33D2207223
  • CLIA Cert. Type: Physician Office
  • 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 Penn Yan, New York operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1700552775 assigned on August 2021. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Trisha Koczent (Cfo & Treasurer)

NPI
1700552775
Provider Name
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
418 N MAIN ST PENN YAN, NY 14527
Location Phone
(315) 531-2000
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
08-19-2021
Last Update Date
08-19-2021
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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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. TRISHA KOCZENT

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02657812MEDICAID (05)NY 

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
33D2207223
Facility Type
Physician Office
Certificate Effective Date
December 26, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. ROBERT ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Soldiers & Sailors Memorial Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOLDIERS & SAILORS MEMORIAL HOSPITAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700552775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27001054714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 0 + 5 + 4 + 7 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1700552775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912993098DR. ELEANOR HINDS DE WITT MD
Individual
Internal Medicine418 N MAIN ST
PENN YAN, NY 14527
(315) 531-2944
1457464422 TARYN PRICE DRAXLER M.D.
Individual
Internal Medicine418 N MAIN ST KEUKA HEALTH CARE
PENN YAN, NY 14527
(315) 536-3308
1013023043MS. JOY ELAINE SCHANK RN, MSN, ANP, CWOCN
Individual
Nurse Practitioner (Adult Health)418 N MAIN ST
PENN YAN, NY 14527
(315) 536-3368
1639265721 CHARLES J LILLY III M.D.
Individual
Psychiatry & Neurology (Psychiatry)418 N MAIN ST
PENN YAN, NY 14527
(315) 531-2292
1558450056 REGINALD S EWING M.D.
Individual
Emergency Medicine418 N MAIN ST
PENN YAN, NY 14527
(315) 531-2500
1902969587MRS. PATSY ANN BALLARD FNPC
Individual
Nurse Practitioner418 N MAIN ST KEUKA HEALTH CARE
PENN YAN, NY 14527
(315) 531-2944
1063563047 NANCY JO REMBAUM CRNA
Individual
Nurse Anesthetist, Certified Registered418 N MAIN ST
PENN YAN, NY 14527
(315) 531-2533
1215205505SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY
Organization
General Acute Care Hospital (Critical Access)418 N MAIN ST
PENN YAN, NY 14527
(131) 578-7415
1124396205SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY, INC.
Organization
General Acute Care Hospital (Critical Access)418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4031
1043582380 TARA A. ATKINSON LMSW
Individual
Social Worker418 N MAIN ST PATIENT ACCOUNTING DEPT.
PENN YAN, NY 14527
(315) 531-2150
1891972774SOLDIERS & SAILORS MEMORIAL HOSPITAL
Organization
Anesthesiology418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150
1013006154 REGINA ZVITKOVITZ LILLY MD
Individual
Internal Medicine418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4000
1376686162SOLDIERS & SAILORS MEMORIAL HOSPITAL
Organization
Skilled Nursing Facility418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150
1285777086SOLDIERS & SAILORS MEMORIAL HOSPITAL
Organization
Psychiatric Unit418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150
1093858896SOLDIERS & SAILORS MEMORIAL HOSPITAL
Organization
Medicare Defined Swing Bed Unit418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150
1316080971SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY
Organization
Hospitalist418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150
1801939483SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY
Organization
Internal Medicine418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150
1629255500SOLDIERS & SAILORS MEMORIAL HOSPITAL
Organization
Surgery418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150
1528519378SOLDIERS AND SAILORS MEMORIAL HOSPITAL
Organization
Family Medicine418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150
1043353618SOLDIERS & SAILORS MEMORIAL HOSPITAL
Organization
Emergency Medicine418 N MAIN ST
PENN YAN, NY 14527
(315) 787-4150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700552775, enumerated in the NPI registry as an "organization" on August 19, 2021

The provider is located at 418 N Main St Penn Yan, Ny 14527 and the phone number is (315) 531-2000

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 33D2207223 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 19, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.