=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811917461
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALBANY MEDICAL CENTER HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/19/2006
-----------------------------------------------------
Last Update Date | 05/10/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25 HACKETT BLVD
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12208-3420
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-262-7476
-----------------------------------------------------
Fax | 518-262-6316
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 HACKETT BLVD
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12208-3420
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-262-7476
-----------------------------------------------------
Fax | 518-262-6316
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXEC VICE PRESIDENT, CHIEF OPERATIN
-----------------------------------------------------
Name | MS. FRANCES S. ALBERT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 518-262-3579
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282N00000X
-----------------------------------------------------
Taxonomy Name | General Acute Care Hospital
-----------------------------------------------------
License Number | 0101000H
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------