Organization
SOLDIERS & SAILORS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA E JOHNSON (TREASURER/CFO)
(315) 787-4031
Entity
Organization
Contact information
Practice address
418 N MAIN ST, PENN YAN, NY 14527-1085
(315) 787-4150
(315) 787-4794
Mailing address
418 N MAIN ST, PENN YAN, NY 14527-1085
(315) 787-4150
(315) 787-4794
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
EIN
NY
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00336498
—
NY
01
—
012005017
BLUE CHOICE INPATIENT
NY
01
—
014005017
BLUE CHOICE OUTPATIENT
NY
01
—
10018CF
PREFERRED CARE ACUTE
NY
01
—
17
BLUE CROSS ACUTE
NY
Enumeration date
08/23/2006
Last updated
07/21/2022
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