HUDSON MOHAWK RECOVERY CENTER NPI 1851452767

NPI Information

NPI: 1851452767
Provider Name: HUDSON MOHAWK RECOVERY CENTER
Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
1724 5TH AVE
TROY, NY
ZIP 12180
Phone: (518) 272-3918
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HUDSON MOHAWK RECOVERY CENTER is a rehabilitation substance use disorder unit in Troy, NY. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) HUDSON MOHAWK RECOVERY CENTER NPI is 1851452767. The provider is registered as an organization entity type.

The provider's business location address is:

1724 5TH AVE
TROY, NY
ZIP 12180-320
Phone: (518) 272-3918
Fax: (518) 272-6391

The provider's authorized official is Tom Bendon .
The authorized official title is Executive Director and has the following contact phone number (518) 272-3918.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 3/16/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	276400000X	Rehabilitation, Substance Use Disorder Unit		090510570	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	900267	OTHER	NEW YORK	MVP INSURANCE
2	00679167	MEDICAID	NEW YORK

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: 5/5/2024

NPI Synchronization or Removal

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