River Hospital, Inc.

Organization Active NPI Skilled Nursing Facility · Alexandria Bay, NY

NPI 1275531808 · NPPES record last updated Sep 30, 2020

Key facts

NPI
1275531808
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
2221001N (NY)
Legal business name
RIVER HOSPITAL, INC.
Practice address
4 Fuller St
Alexandria Bay, NY 13607-1316
Phone
(315) 482-2511
Fax
(315) 482-4981
NPI assigned
Jul 8, 2005
Organization subpart
No

Authorized official

Name
Emily Mastaler
Title
President and Ceo
Phone
(315) 482-2511

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2221001N NY Yes

Addresses

Primary practice location

4 Fuller St
Alexandria Bay, NY 13607-1316

Mailing address

4 Fuller St
Alexandria Bay, NY 13607-1316
Phone (315) 482-2511

Other identifiers

IdentifierTypeStateIssuer
02390747MedicaidNY

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://hie.healtheconnections.org/#/healthe-login Health Information Exchange (HIE)

Other providers in Alexandria Bay, NY

All providers in Alexandria Bay, NY · Skilled Nursing Facility in New York

Sources for this page

Verify at the official NPI Registry.