Provider Demographics
NPI:1437225828
Name:ST PETERS HOSPITAL
Entity Type:Organization
Organization Name:ST PETERS HOSPITAL
Other - Org Name:SPH NUTRITIONAL COUNSELING SVCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PATIENT FINANCIAL SVCS
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUGHRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:518-275-4090
Mailing Address - Street 1:PO BOX 8424
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-0424
Mailing Address - Country:US
Mailing Address - Phone:518-275-4090
Mailing Address - Fax:518-275-4004
Practice Address - Street 1:1 PINEWEST PLAZA SUITE 101
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205
Practice Address - Country:US
Practice Address - Phone:518-464-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty