Organization
SUN RIVER HEALTH INC
Active
Parent organization
SUN RIVER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN RIVER HEALTH
Authorized official
ADAM LIPTON (VP INFO/PRACTICE MGMT SYSTEMS)
(914) 384-2375
Entity
Organization
Contact information
Practice address
6 HENRY ST, HUDSON RIVER HEALTHCARE, INC., BEACON, NY 12508-3058
(845) 831-0400
(845) 831-0793
Mailing address
PO BOX 5036, WHITE PLAINS, NY 10602-5036
(914) 734-8800
(914) 734-8786
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
Enumeration date
12/19/2006
Last updated
03/11/2022
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