Organization Active NPI

Memorial Hospital, Albany, N.Y.

Doing business as Albany Memorial Hospital

  • General Acute Care Hospital
  • Albany, NY
National Provider Identifier
1184161739
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0101003H Issued in NY
Legal business name
MEMORIAL HOSPITAL, ALBANY, N.Y.
Doing business as
Albany Memorial Hospital
Practice address
600 Northern Blvd
Albany, NY 12204-1004
Phone
(518) 525-5634
NPI assigned
Jan 20, 2017
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL, ALBANY, N.Y.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori Santos
Title
Cfo
Phone
(518) 525-5537

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X 0101003H NY Primary

Addresses

Primary practice location

600 Northern Blvd
Albany, NY 12204-1004

Mailing address

PO Box 14890
St. Peter's Health Partners Payer Credentialing
Albany, NY 12212-4890

Other names 2

  • Albany Memorial Hospital Doing business as
  • Memorial Hospital Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0654347Samaritan Hospital - Albany Memorial Campus600 Northern Blvd, Albany, NY 12204ComplianceMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sleepy Hollow Family He4 organizations share this tax ID, including this one
Part of
Sleepy Hollow Family He

Other organizations with this tax ID 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1184161739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "address_2": "ST. PETER'S HEALTH PARTNERS PAYER CREDENTIALING",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041004",
            "telephone_number": "518-525-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL, ALBANY, N.Y.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL, ALBANY, N.Y.",
        "enumeration_date": "2017-01-20",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-525-5537"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "0101003H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.