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Organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Active
Organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Active
Parent organization
ST. PETER'S ADDICTION RECOVERY CENTER
Other names
St. Peter's Rensselaer Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S ADDICTION RECOVERY CENTER
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
53 COLUMBIA STREET, RENSSELAER, NY 12144-2933
(518) 434-2526
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02333773
—
NY
Enumeration date
11/10/2006
Last updated
10/11/2021
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