Provider Demographics
NPI:1922173756
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:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:866-262-7476
Practice Address - Fax:518-262-6316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0101000H261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00303OtherEMPIRE BLUE CROSS
NY103522OtherWELLCARE
NY000400001004OtherBLUE SHIELD REHAB
NY00277716Medicaid
NY10005719OtherCDPHP
NY000400001001OtherBLUE SHIELD PSYCH
NY00746OtherEMPIRE BLUE CROSS HIV
NY0121OtherMVP
NY00040000100OtherBLUE SHIELD ACUTE
NY000400001002OtherBLUE SHIELD HIV
NY00303OtherEMPIRE BLUE CROSS
NY10005719OtherCDPHP
NY=========OtherCIGNA
NY103522OtherWELLCARE
NY=========OtherAETNA
NY=========OtherCIGNA
NY33T013Medicare ID - Type UnspecifiedREHAB