Healthcare Provider Details

I. General information

NPI: 1073569331
Provider Name (Legal Business Name): SARATOGA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 CHURCH ST
SARATOGA SPRINGS NY
12866-1003
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 TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number4501000H
License Number StateNY

VIII. Authorized Official

Name: KATHLEEN STAHURA
Title or Position: DIRECTOR
Credential:
Phone: 518-583-8346