Community Memorial Hospital
NPI 1477080604 · Rural Health Clinic/Center · Waterville, NY
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Community Memorial Hospital is a Rural Health Clinic/Center organization in Waterville, NY (NPI 1477080604).
Provider details
- NPI number
- 1477080604
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Liebel, Vp Finance(315) 824-6550
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-18
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Frequently asked questions
- What is Community Memorial Hospital's NPI number?
- Community Memorial Hospital's National Provider Identifier (NPI) is 1477080604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Memorial Hospital?
- Community Memorial Hospital is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Community Memorial Hospital located?
- Community Memorial Hospital's practice location on file with NPPES is 117 W Main St, Waterville, NY 13480-1165.
- What is Community Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for Community Memorial Hospital is (315) 841-4184.
- Does Community Memorial Hospital accept Medicare?
- Community Memorial Hospital is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Community Memorial Hospital?
- The authorized official listed on Community Memorial Hospital's NPPES record is Jason Liebel, Vp Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Memorial Hospital's NPI active?
- Yes — Community Memorial Hospital's NPI (1477080604) is active in the NPPES registry as of the last update on 2023-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.