ST. PETER'S HOSPITAL OF THE CITY OF ALBANY NPI 1194943670

NPI Information

  • NPI: 1194943670
  • Provider Name: ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: ST. PETER'S ADDICTION RECOVERY CENTER
  • Address: 636 NEW LOUDON ROAD
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 783-5381

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NPI Details

ST. PETER'S HOSPITAL OF THE CITY OF ALBANY is a rehabilitation and substance use disorder clinic center in Latham, NY. ST. PETER'S HOSPITAL OF THE CITY OF ALBANY NPI is 1194943670. 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:

636 NEW LOUDON ROAD
LATHAM, NY
ZIP 12110-002
Phone: (518) 783-5381

The provider's authorized official is Courtney Knowles .
The authorized official title is Credentialing & Enrollment 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 5/24/2023.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5282N00000XGeneral Acute Care Hospital0101004HNEW YORKNo
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
9261QR0405XClinic/CenterRehabilitation, Substance Use Disorder0101004HNEW YORKYes

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: 3/30/2025

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