Moses-Ludington Hospital

Organization Active NPI Critical Access Hospital · Ticonderoga, NY

NPI 1164584272 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1164584272
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
MOSES-LUDINGTON HOSPITAL
Practice address
1019 Wicker St
Ticonderoga, NY 12883-1039
Phone
(518) 585-3810
NPI assigned
Dec 14, 2006
Organization subpart
No

Authorized official

Name
Ms. Michelle Cara Mackness, P.T., D.P.T.
Title
Physical Therapist
Phone
(518) 585-3810

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Moses Ludington Hospita (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NY Yes

Addresses

Primary practice location

1019 Wicker St
Ticonderoga, NY 12883-1039

Mailing address

1019 Wicker St
Ticonderoga, NY 12883-1039

Other identifiers

IdentifierTypeStateIssuer
00360930MedicaidNY

Other providers in Ticonderoga, NY

All providers in Ticonderoga, NY · Critical Access Hospital in New York

Sources for this page

Verify at the official NPI Registry.