Provider Demographics
NPI:1811917461
Name:ALBANY MEDICAL CENTER HOSPITAL
Entity type:Organization
Organization Name:ALBANY MEDICAL CENTER HOSPITAL
Other - Org Name:<UNAVAIL>
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 1:25 HACKETT BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3420
Mailing Address - Country:US
Mailing Address - Phone:866-262-7476
Mailing Address - Fax:518-262-6316
Practice Address - Street 1:25 HACKETT BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3420
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:2006-07-19
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0101000H282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY350249OtherMVP
NY100057OtherWELLCARE
NY141813299OtherAETNA
NY000400664000OtherBLUE SHIELD OF NENY
NY141813299OtherCIGNA
NY42452OtherGHI
NY01952712Medicaid
NY000006OtherEMPIRE BLUE CROSS
NY10030311OtherCDPHP
NY01952712Medicaid