Provider Demographics
NPI:1326469008
Name:ST PETERS HEALTH PARTNERS
Entity Type:Organization
Organization Name:ST PETERS HEALTH PARTNERS
Other - Org Name:SPARC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:518-449-5170
Mailing Address - Street 1:64 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12202-1240
Mailing Address - Country:US
Mailing Address - Phone:518-449-5170
Mailing Address - Fax:
Practice Address - Street 1:64 2ND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12202-1240
Practice Address - Country:US
Practice Address - Phone:518-449-5170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC HEALTH EAST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital