Provider Demographics
NPI:1659307817
Name:ALBANY MEDICAL CENTER HOSPITAL
Entity Type:Organization
Organization Name:ALBANY MEDICAL CENTER HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC VICE PRESIDENT, CHIEF OPERATIN
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-262-3579
Mailing Address - Street 1:43 NEW SCOTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3412
Mailing Address - Country:US
Mailing Address - Phone:866-262-7476
Mailing Address - Fax:518-262-6316
Practice Address - Street 1:43 NEW SCOTLAND AVE
Practice Address - Street 2:MAIL CODE 29
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:662-627-4768
Practice Address - Fax:518-262-6316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0101000H273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00277716Medicaid
NY00746OtherEMPIRE BLUE CROSS HIV
NY0121OtherMVP
NY000400001001OtherBLUE SHIELD OF NENY PSYCH
NY000400001002OtherBLUE SHIELD OF NENY HIV
NY000400001004OtherBLUE SHIELD OF NENY REHAB
NY00400001000OtherBLUE SHIELD OF NENY ACUTE
NY00901OtherEMPIRE BLUE CROSS ACUTE
NY10005719OtherCDPHP
NY103522OtherWELLNESS
NY=========OtherCIGNA
NY10005719OtherCDPHP
NY00277716Medicaid
NY=========OtherAETNA
NY000400001004OtherBLUE SHIELD OF NENY REHAB
NY=========OtherGHI
NY0121OtherMVP