Provider Demographics
NPI:1124396205
Name:SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY, INC.
Entity Type:Organization
Organization Name:SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY, INC.
Other - Org Name:SOLDIERS & SAILORS MEMORIAL HOSPITAL MH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-787-4031
Mailing Address - Street 1:418 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PENN YAN
Mailing Address - State:NY
Mailing Address - Zip Code:14527-1085
Mailing Address - Country:US
Mailing Address - Phone:315-787-4031
Mailing Address - Fax:
Practice Address - Street 1:418 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PENN YAN
Practice Address - State:NY
Practice Address - Zip Code:14527-1085
Practice Address - Country:US
Practice Address - Phone:315-787-4031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02656944Medicaid