FORT HUDSON NURSING CENTER INC. NPI 1477639680

NPI Information

NPI: 1477639680
Provider Name: FORT HUDSON NURSING CENTER, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 33D2070698

Address:
319 BROADWAY
FORT EDWARD, NY
ZIP 12828
Phone: (518) 747-2811
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FORT HUDSON NURSING CENTER, INC. is an adult day care clinic center in Fort Edward, NY. FORT HUDSON NURSING CENTER, INC. NPI is 1477639680. The provider is registered as an organization entity type.

The provider's business location address is:

319 BROADWAY
FORT EDWARD, NY
ZIP 12828-221
Phone: (518) 747-2811
Fax: (518) 747-2740

The provider's authorized official is Andrew A. Cruikshank .
The authorized official title is Administrator/ceo and has the following contact phone number (518) 747-2811.

The CLIA number assigned to this NPI record is 33D2070698 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.

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	261QA0600X	Clinic/Center	Adult Day Care	5724302N	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	01380249	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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