Moses Ludington Hospital
Organization Active NPI Critical Access Hospital · Ticonderoga, NY
NPI 1245360718 · NPPES record last updated Jul 3, 2008
Key facts
- NPI
- 1245360718
- 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) 585-3855
- Fax
- (518) 585-3808
- NPI assigned
- Mar 6, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- MOSES LUDINGTON HOSPITAL
Authorized official
- Name
- Ms. Tammy J Smith
- Title
- Revenue Cycle Director
- Phone
- (518) 585-3784
National Provider Directory
- Part of
- Moses Ludington Hospita
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
1019 Wicker St
Ticonderoga, NY 12883-1039
Mailing address
1019 Wicker St
Ticonderoga, NY 12883-1039
Phone (518) 585-3855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9175850 | Other | NY | FIDELIS CARE NY |
| 02225730 | Medicaid | NY |
Other names
- Interlakes Dental Clinic
Other providers in Ticonderoga, NY
- Richard N McKeever
- Robert Thomas McLaughlin
- Patricia M McLoughlin
- Nicholas J Montello
- Michelle Cara Moore
- Moses Ludington Hospital Pharmacy
- Moses Ludington Nursing Home Company, Inc
- Moses-Ludington Hospital
- Moses-Ludington Hospital
- Moses-Ludington Hospital
All providers in Ticonderoga, NY · Critical Access Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2008. 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.