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ST. PETER'S ADDICTION AND RECOVERY CENTER NPI 1699162404


NPI Information

NPI: 1699162404
Provider Name: ST. PETER'S ADDICTION AND RECOVERY CENTER
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
845 CENTRAL AVE
ALBANY, NY
ZIP 12206
Phone: (518) 482-2455
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ST. PETER'S ADDICTION AND RECOVERY CENTER is a point of service in Albany, NY. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ST. PETER'S ADDICTION AND RECOVERY CENTER NPI is 1699162404. The provider is registered as an organization entity type.

The provider's business location address is:

845 CENTRAL AVE
ALBANY, NY
ZIP 12206-514
Phone: (518) 482-2455

The provider's authorized official is Patrick Carese .
The authorized official title is Ceo Of Sparc Outpatient and has the following contact phone number (518) 452-6700.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 4/20/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service139696387NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1139696387OTHERNEW YORKNPI

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: 4/28/2024

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