Organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Active
Parent organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Other names
SPH Sleep Therapy Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Authorized official
COURTNEY KNOWLES (CREDENTIALING & ENROLLMENT MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
1 PINE WEST PLAZA, WASHINGTON AVE EXT, ALBANY, NY 12205-5537
(518) 464-9999
(518) 464-9650
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 275-4090
(518) 275-4004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400597002
BLUE SHIELD PROVIDER NUMB
NY
01
—
10087013
CDPH PROVIDER NUMBER
NY
01
—
892050
MVP PROVIDER NUMBER
NY
Enumeration date
01/24/2007
Last updated
05/24/2023
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