Provider Demographics
NPI:1538640792
Name:LITTLE FALLS HOSPITAL
Entity Type:Organization
Organization Name:LITTLE FALLS HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VIELKIND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-823-5281
Mailing Address - Street 1:140 BURWELL STREET
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13365
Mailing Address - Country:US
Mailing Address - Phone:315-823-5281
Mailing Address - Fax:315-823-5383
Practice Address - Street 1:3085 BRIDGE STREET
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NY
Practice Address - Zip Code:13416-0408
Practice Address - Country:US
Practice Address - Phone:315-845-6100
Practice Address - Fax:315-845-6035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2129700C261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health