Provider Demographics
NPI:1558919050
Name:MARY IMNOGENE BASSETT HOSPITAL
Entity Type:Organization
Organization Name:MARY IMNOGENE BASSETT HOSPITAL
Other - Org Name:BASSETT HEALTHCARE - ANDES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NETWORK CFO AND BMC VP
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SWINKO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:607-547-3096
Mailing Address - Street 1:1 ATWELL RD
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-1301
Mailing Address - Country:US
Mailing Address - Phone:607-547-3456
Mailing Address - Fax:
Practice Address - Street 1:245 LOWER MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDES
Practice Address - State:NY
Practice Address - Zip Code:13731-0115
Practice Address - Country:US
Practice Address - Phone:845-676-3663
Practice Address - Fax:845-676-3665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health