Provider Demographics
NPI:1336800135
Name:GLENS FALLS HOSPITAL INC
Entity Type:Organization
Organization Name:GLENS FALLS HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR, PHYSICIAN PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-926-6988
Mailing Address - Street 1:100 PARK STREET
Mailing Address - Street 2:ROOM T1002
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801
Mailing Address - Country:US
Mailing Address - Phone:518-926-2580
Mailing Address - Fax:518-926-2581
Practice Address - Street 1:100 PARK STREET
Practice Address - Street 2:ROOM T1002
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801
Practice Address - Country:US
Practice Address - Phone:518-926-2580
Practice Address - Fax:518-926-2581
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLENS FALLS HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy