Organization
THE CAPITAL REGION FORD NURSING CO., INC
Active
Other names
Eddy Ford Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANITA WHEELER (DIRECTOR OF FINANCE)
(518) 238-4045
Entity
Organization
Contact information
Practice address
421 WEST COLUMBIA ST, COHOES, NY 12047-2217
(518) 238-4082
(518) 237-9912
Mailing address
421 WEST COLUMBIA STREET, COHOES, NY 12047-2217
(518) 238-4082
(518) 237-9912
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0102300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400101002
BLUE SHIELD OF NE NY
NY
05
—
00314585
—
NY
01
—
007985
BLUE CROSS
NY
01
—
10014701
CDPHP
NY
01
—
4425791
AETNA
NY
Enumeration date
05/27/2006
Last updated
08/22/2020
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