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NPI Code Detail

MEDICARE: SARATOGA HOSPITAL

MEDICARE: SARATOGA HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1330222OTHERNYMEDICARE PART A

General Provider Information

NPI Number : 1568707289
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARATOGA HOSPITAL
Provider Business Mailing Address
First Line : PO BOX 3450
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-8009
Country : US
Telephone Number : 518-580-2020
Fax Number :
Provider Business Practice Location Address
First Line : 200 BROAD ST
Second Line :
City : SCHUYLERVILLE
State : NY
Zip : 12871-1024
Country : US
Telephone Number : 518-695-3668
Fax Number :
Authorized Official
Title or Position : CFO
Name : GARY FOSTER
Credential :
Telephone Number : 518-584-8421
Provider Enumeration Date : 12/06/2012
Last Update Date : 03/26/2013

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Directions to “SARATOGA HOSPITAL ” Practice Location

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