RIVER HOSPITAL INC. NPI 1487650065

NPI Information

NPI: 1487650065
Provider Name: RIVER HOSPITAL, INC.
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
CLIA Number: 33D0663773
Address: 4 FULLER ST
ALEXANDRIA BAY, NY
ZIP 13607
Phone: (315) 482-1116

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NPI Details

RIVER HOSPITAL, INC. is an adult day care clinic center in Alexandria Bay, NY. RIVER HOSPITAL, INC. NPI is 1487650065. The provider is registered as an organization entity type.

The provider's business location address is:

4 FULLER ST
ALEXANDRIA BAY, NY
ZIP 13607-316
Phone: (315) 482-1116
Fax: (315) 482-7153

The provider's authorized official is Emily Mastaler .
The authorized official title is Chief Executive Officer and has the following contact phone number (315) 482-1110.

The CLIA number assigned to this NPI record is 33D0663773 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 9/30/2020.

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	221001N	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	02390774	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: 11/21/2025

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