Organization
MOSES LUDINGTON HOSPITAL
Active
Parent organization
MOSES LUDINGTON HOSPITAL
Other names
Interlakes Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSES LUDINGTON HOSPITAL
Authorized official
MS. TAMMY J SMITH (REVENUE CYCLE DIRECTOR)
(518) 585-3784
Entity
Organization
Contact information
Practice address
1019 WICKER ST, TICONDEROGA, NY 12883-1039
(518) 585-3855
(518) 585-3808
Mailing address
1019 WICKER ST, TICONDEROGA, NY 12883-1039
(518) 585-3855
(518) 585-3808
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02225730
—
NY
01
—
9175850
FIDELIS CARE NY
NY
Enumeration date
03/06/2007
Last updated
07/03/2008
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