Baptist Health Family Medical Care
Organization Active NPI Clinic/Center · Scotia, NY
NPI 1013054550 · NPPES record last updated Oct 12, 2007
Key facts
- NPI
- 1013054550
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 4620200R (NY)
- Legal business name
- BAPTIST HEALTH FAMILY MEDICAL CARE
- Practice address
- 7 Culligan Rd
Scotia, NY 12302-3121 - Phone
- (518) 377-9444
- Fax
- (518) 377-9032
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Timothy Bartos
- Title
- Chief Executive Officer
- Phone
- (518) 370-4700
Practitioners 4
-
Jan Carstens, MD
-
Lynn L Hickey, MD
-
Mary Lynn Massonne, MS APRN FNP BC
National Provider Directory
Locations
7 Culligan Dr
Scotia, NY 12302
Phone (518) 377-9444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 4620200R | NY | Yes |
Addresses
Primary practice location
7 Culligan Rd
Scotia, NY 12302-3121
Mailing address
7 Culligan Rd
Scotia, NY 12302-3121
Phone (518) 377-9444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02002380 | Medicaid | NY |
Other providers in Scotia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.