| River Hospital, Inc. | |
|
4 Fuller St Alexandria Bay NY 13607-1316 | |
| (315) 482-2511 | |
| Not Available |
| Full Name | River Hospital, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4 Fuller St, Alexandria Bay, New York |
| Authorized Official Name and Position | Emily Mastaler (CHIEF EXECUTIVE OFFICIER) |
| Authorized Official Contact | 3154822511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Hospital, Inc. 4 Fuller St Alexandria Bay NY 13607-1316 Ph: () - | River Hospital, Inc. 4 Fuller St Alexandria Bay NY 13607-1316 Ph: (315) 482-2511 |
| NPI Number | 1295272755 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295272755 | NPI | - | NPPES |
| 73641825022 | Other | NY | HPSA |
| 8503001A | Other | NY | OFFICE OF MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 32482 (New York) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |