Provider Demographics
NPI:1598122988
Name:GLENS FALLS HOSPITAL INC.
Entity Type:Organization
Organization Name:GLENS FALLS HOSPITAL INC.
Other - Org Name:ORTHOPEDIC SPECIALISTS OF GLENS FALLS
Other - Org Type:Other Name
Authorized Official - Title/Position:SR VP, PHYSICIAN PRACTICES
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:PO BOX 304
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-0304
Mailing Address - Country:US
Mailing Address - Phone:518-926-5924
Mailing Address - Fax:
Practice Address - Street 1:102 PARK ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4403
Practice Address - Country:US
Practice Address - Phone:518-926-2663
Practice Address - Fax:518-926-5865
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLENS FALLS HOSPITAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-15
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty