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 |
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