NPIMap

Organization Active NPI

Glens Falls Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glens Falls, NY
National Provider Identifier
1780797670
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
5601000H Issued in NY
Legal business name
GLENS FALLS HOSPITAL INC
Practice address
100 Park St
Glens Falls, NY 12801-4413
Phone
(518) 926-1000
Fax
(518) 926-1919
NPI assigned
Aug 16, 2006
Last updated
Aug 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
GLENS FALLS HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Mitchell J Amado
Title
Sr. Vice President Finance & Cfo
Phone
(518) 926-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 5601000H NY Primary

Addresses

Primary practice location

100 Park St
Glens Falls, NY 12801-4413

Mailing address

100 Park Street
Glens Falls, NY 12801-4413
Phone (518) 926-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429000524 NY Part B Supplier - Clinic/Group Practice 8325955974 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hudson Falls, NY; Queensbury, NY; Glens Falls, NY; Cambridge, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Adirndack Medical Servi

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1780797670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-1000",
            "fax_number": "518-926-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-1000",
            "fax_number": "518-926-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENS FALLS HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENS FALLS HOSPITAL INC",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT FINANCE & CFO",
        "authorized_official_telephone_number": "518-926-5113"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "5601000H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.