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NPI 1689741985

NPI 1689741985 : BASSETT HOSPITAL OF SCHOHARIE COUNTY : COBLESKILL, NY

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General NPI Number Information
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    NPI Number           |    1689741985
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    Entity Type          |    Organization 
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    Legal Business Name  |    BASSETT HOSPITAL OF SCHOHARIE COUNTY 
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Dates
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    Enumeration Date     |    11/29/2006
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    Last Update Date     |    01/04/2019
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Provider Practice Location Address
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    Address Line         |    178 GRANDVIEW DR 
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    City                 |    COBLESKILL
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    State                |    NY
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    Zip                  |    12043-5144
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    Country              |    US
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    Telephone            |    518-254-3270
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    Fax                  |    518-234-4839
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Provider Business Mailing Address
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    Address Line         |    178 GRANDVIEW DR 
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    City                 |    COBLESKILL
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    State                |    NY
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    Zip                  |    12043-5144
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    Country              |    US
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    Telephone            |    518-254-3270
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    Fax                  |    518-234-4839
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Authorized Official
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    Title or Position    |    VICE PRESIDENT - REVENUE CYCLE
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    Name                 |     EDWARD MARK MARRYOTT 
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    Credential           |    
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    Telephone            |    607-547-6947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    275N00000X
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    Taxonomy Name        |    Medicare Defined Swing Bed Hospital Unit
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    License Number       |    4720001H
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    
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    License Number State |    
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