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Organization
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
Active
Organization
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
Active
Other names
ACUTE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEBEAU (PRESIDENT/COO)
(518) 562-7055
Entity
Organization
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
(518) 561-0881
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 561-2000
(518) 561-0881
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0901001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400019000
BS NENY
NY
05
—
00318814
—
NY
01
—
00919
EMPIRE BC
NY
01
—
10013988
CDPHP
NY
01
—
110089800
USDL-WC
NY
01
—
114406
VALUE OPTIONS
NY
01
—
13551
GHI-FHP
NY
01
—
330250
EXCELLUS
NY
01
—
60054
AETNA
NY
01
—
61101
GHI-NYC
NY
01
—
90031
MVP
NY
Enumeration date
12/13/2006
Last updated
02/21/2024
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