NPIMap

Organization Active NPI

Glens Falls Hospital Inc.

  • Emergency Medicine Physician
  • Glens Falls, NY
National Provider Identifier
1760800635
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GLENS FALLS HOSPITAL INC.
Practice address
100 Park St
Emergency Care Center
Glens Falls, NY 12801-4413
Phone
(518) 926-6992
Fax
(518) 926-6983
NPI assigned
Mar 28, 2014
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
GLENS FALLS HOSPITAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Mitchell Amado
Title
SVP Finance and Cfo
Phone
(518) 926-5113

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Emergency Medicine Physician 207P00000X NU Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU

Addresses

Primary practice location

100 Park St
Emergency Care Center
Glens Falls, NY 12801-4413

Mailing address

100 Park St
Emergency Care Center
Glens Falls, NY 12801-4413
Phone (518) 926-6992

Other identifiers 1

IdentifierTypeStateIssuer
70021AOtherNYMEDICARE PART B

Other names 1

  • Emergency Care Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Glens Falls Hospital Inc24 organizations share this tax ID, including this one
Part of
Glens Falls Hospital Inc

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1760800635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "address_2": "EMERGENCY CARE CENTER",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-6992",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "address_2": "EMERGENCY CARE CENTER",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-6992",
            "fax_number": "518-926-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENS FALLS HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENS FALLS HOSPITAL INC.",
        "enumeration_date": "2014-03-28",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "SVP FINANCE AND CFO",
        "authorized_official_telephone_number": "518-926-5113"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "70021A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.