1831586999 NPI number — GLENS FALLS HOSPITAL INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831586999 NPI number — GLENS FALLS HOSPITAL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLENS FALLS HOSPITAL INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831586999
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/01/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 304
Provider Second Line Business Mailing Address:
ADIRONDACK MEDICAL SERVICES
Provider Business Mailing Address City Name:
GLENS FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12801-0304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-926-6999
Provider Business Mailing Address Fax Number:
518-926-6984

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 PARK ST STE 201
Provider Second Line Business Practice Location Address:
GFH - ADIRONDACK UROLOGY
Provider Business Practice Location Address City Name:
GLENS FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12801-4449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-798-1719
Provider Business Practice Location Address Fax Number:
518-798-1943
Provider Enumeration Date:
04/16/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SCIMECA
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
Authorized Official Title or Position:
SR VP, PHYSICIAN PRACTICES
Authorized Official Telephone Number:
518-926-5902

Provider Taxonomy Codes

  • Taxonomy code: 208800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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