# GLENS FALLS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GLENS FALLS HOSPITAL INC
- **Other names:** Whitehall Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861749475
- **Legal business name:** GLENS FALLS HOSPITAL INC
- **Authorized official:** PAUL SCIMECA (INTERIM PRESIDENT/CEO)
- **Authorized official phone:** (518) 926-5902

## Contact information

- **Practice address:** 65 POULTNEY ST, WHITEHALL, NY 12887-1543
- **Practice address phone:** (518) 499-2444
- **Practice address fax:** (518) 499-0317
- **Mailing address:** 100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
- **Mailing address phone:** (518) 926-5924
- **Mailing address fax:** (518) 926-6983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 08/14/2012
- **Last updated:** 04/02/2024