Provider Demographics
NPI:1013985399
Name:ST JAMES HOSPITAL
Entity type:Organization
Organization Name:ST JAMES HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR DECISION SUPPORT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BECHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-385-3960
Mailing Address - Street 1:411 CANISTEO ST
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-2104
Mailing Address - Country:US
Mailing Address - Phone:607-324-8000
Mailing Address - Fax:607-324-8198
Practice Address - Street 1:7329 SENECA ROAD NORTH
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843
Practice Address - Country:US
Practice Address - Phone:607-247-2200
Practice Address - Fax:607-385-3196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5002001H282NR1301X, 282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01362234Medicaid
NY00363162Medicaid
NY01198796Medicaid
NY02702050Medicaid
NY00363162Medicaid
NY70084AMedicare Oscar/Certification