Provider Demographics
NPI:1073541850
Name:NATHAN LITTAUER HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:NATHAN LITTAUER HOSPITAL ASSOCIATION
Other - Org Name:NATHAN LITTAUER HOSPITAL AND NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTRANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-773-5480
Mailing Address - Street 1:99 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078
Mailing Address - Country:US
Mailing Address - Phone:518-725-8621
Mailing Address - Fax:518-775-4075
Practice Address - Street 1:99 E STATE ST
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078
Practice Address - Country:US
Practice Address - Phone:518-725-8621
Practice Address - Fax:518-775-4075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1701000N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00018OtherBLUE CROSS
NY01212853Medicaid
NY7449324OtherAETNA
NY7449324OtherAETNA