Provider Demographics
NPI:1275881922
Name:GLENS FALLS HOSPITAL INC
Entity Type:Organization
Organization Name:GLENS FALLS HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIMECA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-926-5902
Mailing Address - Street 1:100 PARK STREET
Mailing Address - Street 2:GLENS FALLS HOSPITAL - CREDENTIALING
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4413
Mailing Address - Country:US
Mailing Address - Phone:518-926-5924
Mailing Address - Fax:518-926-6983
Practice Address - Street 1:213 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NY
Practice Address - Zip Code:12865-3121
Practice Address - Country:US
Practice Address - Phone:518-854-3821
Practice Address - Fax:518-854-3224
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLENS FALLS HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-28
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty