MEDICARE: CARTHAGE AREA HOSPITAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	275N00000X	Medicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number	:	1699561555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARTHAGE AREA HOSPITAL INC

Provider Business Mailing Address
First Line	:	1001 WEST ST
Second Line	:
City	:	CARTHAGE
State	:	NY
Zip	:	13619-9703
Country	:	US
Telephone Number	:	315-519-5724
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 KING ST STE A
Second Line	:
City	:	OGDENSBURG
State	:	NY
Zip	:	13669-1142
Country	:	US
Telephone Number	:	315-393-3600
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	ROB BLOOM
Credential	:
Telephone Number	:	315-405-1535

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	01/15/2026

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