Provider Demographics
NPI:1689741985
Name:BASSETT HOSPITAL OF SCHOHARIE COUNTY
Entity Type:Organization
Organization Name:BASSETT HOSPITAL OF SCHOHARIE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT - REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MARRYOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-547-6947
Mailing Address - Street 1:178 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:COBLESKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12043-5144
Mailing Address - Country:US
Mailing Address - Phone:518-254-3270
Mailing Address - Fax:518-234-4839
Practice Address - Street 1:178 GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:COBLESKILL
Practice Address - State:NY
Practice Address - Zip Code:12043-5144
Practice Address - Country:US
Practice Address - Phone:518-254-3270
Practice Address - Fax:518-234-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4720001H275N00000X
282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00302429Medicaid
NY33U268Medicare ID - Type Unspecified
NY00302429Medicaid
NY33U268Medicare Oscar/Certification