| Memorial Hospital | |
|
600 Northern Blvd Albany NY 12204-1004 | |
| (518) 525-5634 | |
| Not Available |
| Full Name | Memorial Hospital |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 600 Northern Blvd, Albany, New York |
| Authorized Official Name and Position | Lori Santos (CFO) |
| Authorized Official Contact | 5185255537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital Po Box 14890 St. Peter's Health Partners Payer Credentialing Albany NY 12212-4890 Ph: () - | Memorial Hospital 600 Northern Blvd Albany NY 12204-1004 Ph: (518) 525-5634 |
| NPI Number | 1184161739 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 04/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184161739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 0101003H (New York) | Primary |
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