Organization
MOSES-LUDINGTON HOSPITAL
Active
Parent organization
MOSES LUDINGTON HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOSES LUDINGTON HOSPITAL
Authorized official
MR. WILLIAM HOLMES (CEO)
(518) 585-3720
Entity
Organization
Contact information
Practice address
1019 WICKER ST, TICONDEROGA, NY 12883
(518) 585-3700
(518) 585-3899
Mailing address
1019 WICKER ST, TICONDEROGA, NY 12883-1039
(518) 585-3700
(518) 585-3899
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
1564701C
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400017000
BLUESHIELD NENY
NY
01
—
000932
BLUE CROSS
NY
05
—
00360930
—
NY
05
—
03002375
—
NY
01
—
330116
EXCELLUS BLUE CROSS
NY
Enumeration date
11/06/2006
Last updated
06/22/2018
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