ST. LUKE'S CORNWALL HOSPITAL NPI 1013184639

NPI Information

NPI: 1013184639
Provider Name: ST. LUKE'S CORNWALL HOSPITAL
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
70 DUBOIS ST
NEWBURGH, NY
ZIP 12550
Phone: (845) 561-4400
Get Directions

ST. LUKE'S CORNWALL HOSPITAL is an end-stage renal disease (esrd) treatment clinic center in Newburgh, NY. ST. LUKE'S CORNWALL HOSPITAL NPI is 1013184639. The provider is registered as an organization entity type.

The provider's business location address is:

70 DUBOIS ST
NEWBURGH, NY
ZIP 12550-851
Phone: (845) 561-4400

The provider's authorized official is Allen E Atzrott .
The authorized official title is President & Ceo and has the following contact phone number (845) 561-4400.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 5/13/2008.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	3522000H	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	332398	MEDICARE OSCAR/CERTIFICATION
2	104575	OTHER		MEDICAID WELLCARE
3	273863	MEDICAID	NEW YORK
4	00156	OTHER		BLUE CROSS
5	10014302	OTHER		CDPHP
6	43910	OTHER		MEDICARE GHI
7	701715	OTHER		MVP HEALTH PLAN
8	04539	OTHER		BENEFIT PLAN ADMIN
9	60966	OTHER		US HEALTHCARE
10	H04201	OTHER		OXFORD HEALTH PLAN
11	IC8857	OTHER		HEALTHNET
12	60966	OTHER		LOCAL 445

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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