Memorial Hospital, Albany, N.Y.
General Acute Care Hospital in Albany, NY. Organization (NPI-2).
NPI number1487901351
StatusActive
Last updated in NPPESApr 3, 2020
Details
- NPI
- 1487901351
- Entity type
- Organization (NPI-2)
- Legal business name
- Memorial Hospital, Albany, N.Y.
- Organization subpart
- Yes
- Enumeration date
- Aug 10, 2012
- Certification date
- Apr 3, 2020
- Last updated
- Apr 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 0101003H | NY | Yes |
| 207Q00000X | Family Medicine | 0101003H | NY | |
| 207R00000X | Internal Medicine | 0101003H | NY | |
| 363A00000X | Physician Assistant | 0101003H | NY | |
| 363L00000X | Nurse Practitioner | 0101003H | NY |
Other names
- Capital District Internal Medicine (Other Name)
Practice location
1440 Western AveAlbany, NY 12203-3421
Phone 518-482-0214
Mailing address
Po Box 14890Albany, NY 12212-4890
Authorized official
Lori Santos
Cfo
5185255537
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