ELLIS HOSPITAL NPI 1528548823

NPI Information

NPI: 1528548823
Provider Name: ELLIS HOSPITAL

Doing Business As: ELLIS MEDICINE AT MOHAWK HARBOR - PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
200 HARBORSIDE DRIVE
SUITE 101
SCHENECTADY, NY
ZIP 12305
Phone: (518) 881-4700
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ELLIS HOSPITAL is a primary care clinic center in Schenectady, NY. ELLIS HOSPITAL NPI is 1528548823. The provider is registered as an organization entity type.
The provider Is Doing Business As Ellis Medicine At Mohawk Harbor - Primary Care.

The provider's business location address is:

200 HARBORSIDE DRIVE
SUITE 101
SCHENECTADY, NY
ZIP 12305-020
Phone: (518) 881-4700

The provider's authorized official is Paul A Milton .
The authorized official title is Ceo and has the following contact phone number (518) 243-4175.

The CLIA number assigned to this NPI record is 33D2154403 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 8/16/2018.

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	261QP2300X	Clinic/Center	Primary Care	4601001H	NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

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