Healthcare Provider Details

I. General information

NPI: 1679503544
Provider Name (Legal Business Name): SARATOGA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 CHURCH ST
SARATOGA SPRINGS NY
12866-1046
US

IV. Provider business mailing address

211 CHURCH ST
SARATOGA SPRINGS NY
12866-1046
US

V. Phone/Fax

Practice location:
  • Phone: 518-587-3222
  • Fax:
Mailing address:
  • Phone: 518-587-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4501000N
License Number StateNY

VIII. Authorized Official

Name: GARY FOSTER
Title or Position: CHIEF FINANCIAL OFFICER-INTERIM
Credential:
Phone: 518-583-8421