Healthcare Provider Details

I. General information

NPI: 1245595396
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

1 WEST AVE SUITE 125
SARATOGA SPRINGS NY
12866-6045
US

IV. Provider business mailing address

PO BOX 1368
ALBANY NY
12201-1368
US

V. Phone/Fax

Practice location:
  • Phone: 518-693-4418
  • Fax: 518-693-4481
Mailing address:
  • Phone: 518-348-1276
  • Fax: 518-348-1279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral 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