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Organization

ALICE HYDE MEDICAL CENTER

Active
Parent organization
ALICE HYDE MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALICE HYDE MEDICAL CENTER
Authorized official
MRS. SANDRA MAY MACDONALD (VP FINANCE)
(518) 481-2212
Entity
Organization

Contact information

Practice address
133 PARK ST, MALONE, NY 12953-1220
(518) 483-3000
(518) 481-2662
Mailing address
133 PARK ST, PO BOX 729, MALONE, NY 12953-1220
(518) 483-3000
(518) 481-2662

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1624000N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1624000N
NY
Enumeration date
09/22/2006
Last updated
09/18/2012
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