| Glens Falls Hospital Inc | |
|
79 North St Granville NY 12832-1137 | |
| (518) 642-0612 | |
| (518) 642-0693 |
| Full Name | Glens Falls Hospital Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 79 North St, Granville, New York |
| Authorized Official Name and Position | Paul Scimeca (INTERIM PRESIDENT/CEO) |
| Authorized Official Contact | 5189265902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glens Falls Hospital Inc 100 Park Street Glens Falls Hospital - Credentialing Glens Falls NY 12801-4413 Ph: (518) 926-5924 | Glens Falls Hospital Inc 79 North St Granville NY 12832-1137 Ph: (518) 642-0612 |
| NPI Number | 1619222759 |
|---|---|
| Provider Enumeration Date | 07/16/2012 |
| Last Update Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619222759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New York) | Primary |
| 208000000X | Pediatrics | (New York) | Secondary |