# ALICE HYDE MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Alice Hyde Dialysis Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578627865
- **Authorized official:** SANDRA M MACDONALD (CONTROLLER)
- **Authorized official phone:** (518) 481-2212

## Contact information

- **Practice address:** 133 PARK ST, MALONE, NY 12953-1243
- **Practice address phone:** (518) 481-2212
- **Mailing address:** 133 PARK ST, MALONE, NY 12953-1220
- **Mailing address phone:** (518) 481-2212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 1624000H | NY | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 05/15/2012