Healthcare Provider Details

I. General information

NPI: 1558321919
Provider Name (Legal Business Name): LITTLE FALLS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BURWELL ST
LITTLE FALLS NY
13365-1725
US

IV. Provider business mailing address

140 BURWELL ST
LITTLE FALLS NY
13365-1725
US

V. Phone/Fax

Practice location:
  • Phone: 315-823-5281
  • Fax: 315-823-5383
Mailing address:
  • Phone: 315-823-5281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number2129700C
License Number StateNY

VIII. Authorized Official

Name: MR. JAMES VIELKIND
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 315-823-5281