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NPI Code Detail

MEDICARE: GLENS FALLS HOSPITAL INC

MEDICARE: GLENS FALLS HOSPITAL INC
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
13336C0004XCompounding Pharmacy
23336S0011XSpecialty Pharmacy
3183500000XPharmacist
4183500000XPharmacist006069NY
53336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13335800OTHERNABP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619990991
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLENS FALLS HOSPITAL INC
Provider Business Mailing Address
First Line : 100 PARK ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-4447
Country : US
Telephone Number : 518-926-2540
Fax Number : 518-926-2533
Provider Business Practice Location Address
First Line : 100 PARK ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-4447
Country : US
Telephone Number : 518-926-2540
Fax Number : 518-926-2533
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MITCHELL AMADO
Credential :
Telephone Number : 518-926-5113
Provider Enumeration Date : 07/26/2006
Last Update Date : 11/09/2022

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Directions to “GLENS FALLS HOSPITAL INC ” Practice Location

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