Healthcare Provider Details
I. General information
NPI: 1982969036
Provider Name (Legal Business Name): SARATOGA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2012
Last Update Date: 01/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3050 ROUTE 50
SARATOGA SPRINGS NY
12866-2958
US
IV. Provider business mailing address
PO BOX 1368
ALBANY NY
12201-1368
US
V. Phone/Fax
- Phone: 518-886-5112
- Fax: 518-886-5191
- Phone: 518-348-1276
- Fax: 518-348-1279
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
GARY
L
FOSTER
Title or Position: VP AND CFO
Credential:
Phone: 518-583-8421