Organization
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Active
Parent organization
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
Other names
SOLDIERS & SAILORS HOSPITAL SWING
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
Authorized official
MS. PAMELA E JOHNSON (TREASURER & CFO)
(315) 787-4030
Entity
Organization
Contact information
Practice address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 787-4150
(315) 787-4794
Mailing address
418 N MAIN ST, PENN YAN, NY 14527-1070
(315) 787-4150
(315) 787-4794
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00336498
—
NY
01
—
015005055
BLUE CHOICE
NY
01
—
106127EL
PREFERRED CARE
NY
01
—
40
BLUE CROSS
NY
Enumeration date
02/14/2007
Last updated
11/13/2014
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