Provider Demographics
NPI:1609875772
Name:GARNET HEALTH MEDICAL CENTER
Entity Type:Organization
Organization Name:GARNET HEALTH MEDICAL CENTER
Other - Org Name:ORANGE REGIONAL MEDICAL CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VP OF REVENUE STRATEGY
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:SCHEUERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-333-7458
Mailing Address - Street 1:707 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:845-333-1000
Mailing Address - Fax:
Practice Address - Street 1:707 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-333-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3523000H282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33O126Medicare Oscar/Certification