# HEALTHALLIANCE MARYS AVENUE CAMPUS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Benedictine Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447227491
- **Authorized official:** MAUREEN SCHUPP (DIRECTOR, PATIENT ACCOUNTS)
- **Authorized official phone:** (845) 943-6007

## Contact information

- **Practice address:** 105 MARY'S AVE, KINGSTON, NY 12401
- **Practice address phone:** (845) 943-6007
- **Practice address fax:** (845) 943-6038
- **Mailing address:** 105 MARY'S AVE, KINGSTON, NY 12401
- **Mailing address phone:** (845) 943-6007
- **Mailing address fax:** (845) 943-6038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 03/23/2015