National Provider Identifier Database

MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.


Contact Information

MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE
199 PRATT ST
WATERTOWN, NY13601-4349
Phone: 315-782-0415
Fax: 315-786-0417
Website:
Specialty Taxonomy Code
* Home Health 251E00000X
Assisted Living, Behavioral Disturbances 3104A0630X
Primary Care 261QP2300X
Renal Dialysis 2472R0900X

* Indicates primary specialty

NPI Profile & details for MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE

NPI Number 1710965124
Legal business name
LBN
MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE
Authorized official TERRI BRAY - (DPS/ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 01/05/2006
Last updated 10/02/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 01226553
  • Other: P014001500 BC ROCHESTER
  • Other: 113538582 COMM
  • Other: 113538582 COMM INS
  • Other: 113538582 TRICARE
  • Other: 337254 TRICARE
  • NY Other: C52892A 1ST UNITED AMERICAN
  • NY Other: 344246 GHI VALUE OPTIONS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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