ST. PETER'S HOSPITALOF THE CITY OF ALBANY NPI 1396963872

NPI Information

NPI: 1396963872
Provider Name: ST. PETER'S HOSPITALOF THE CITY OF ALBANY

Other Name: ST. PETER'S ADDICTION RECOVERY CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
845 CENTRAL AVENUE SUITE 107
ALBANY, NY
ZIP 12206
Phone: (518) 482-2455
Get Directions

ST. PETER'S HOSPITALOF THE CITY OF ALBANY is a rehabilitation and substance use disorder clinic center in Albany, NY. ST. PETER'S HOSPITALOF THE CITY OF ALBANY NPI is 1396963872. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St. Peter's Addiction Recovery Center.

The provider's business location address is:

845 CENTRAL AVENUE SUITE 107
ALBANY, NY
ZIP 12206-515
Phone: (518) 482-2455

The provider's authorized official is Courtney Knowles .
The authorized official title is Credentialing Manager and has the following contact phone number (518) 525-5634.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 10/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	207QA0401X	Family Medicine	Addiction Medicine			No
3	207R00000X	Internal Medicine				No
4	2083A0300X	Preventive Medicine	Addiction Medicine			No
5	2084P0800X	Psychiatry & Neurology	Psychiatry			No
6	363L00000X	Nurse Practitioner				No
7	261QM1300X	Clinic/Center	Multi-Specialty			No
8	282N00000X	General Acute Care Hospital		0101004H	NEW YORK	No
9	363A00000X	Physician Assistant				No
10	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
11	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0101004H	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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