Organization
ST LUKES CORNWALL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN E ATZROTT (PRESIDENT & CEO)
(845) 561-4400
Entity
Organization
Contact information
Practice address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(845) 561-4400
Mailing address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(845) 561-4400
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
352200H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00156
BLUE CROSS
—
01
—
04539
BENEFIT PLAN ADMIN
—
01
—
10014302
CDPHP
—
01
—
104575
MEDICAID WELLCARE
—
05
—
273863
—
NY
01
—
43910
MEDICARE GHI
—
01
—
60966
US HEALTHCARE
—
01
—
701715
MVP HEALTH PLAN
—
01
—
H04201
OXFORD HEALTH PLAN
—
01
—
IC8857
HEALTHNET
—
Enumeration date
05/13/2008
Last updated
05/13/2008
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