Organization
AMSTERDAM MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD MASSEY (CEO)
(518) 841-3571
Entity
Organization
Contact information
Practice address
4988 STATE HIGHWAY 30, AMSTERDAM, NY 12010-7520
(518) 842-3100
(518) 841-3678
Mailing address
4988 STATE HIGHWAY 30, PO BOX 517, AMSTERDAM, NY 12010-7520
(518) 842-3100
(518) 841-3678
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2801000H
NY
282N00000X
General Acute Care Hospital
2801000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005323
GHI PROVIDER NUMBER
NY
01
—
000400002000
BSNENY PROVIDER NUMBER
NY
01
—
000400002001
BSNENY PROVIDER NUMBER
NY
01
—
000400002003
BSNENY PROVIDER NUMBER
NY
01
—
000902
EMPIRE BCBS PROVIDER NUM
NY
05
—
00381420
—
NY
01
—
0129
MVP PROVIDER NUMBER
NY
01
—
10005722
CDPHP PROVIDER NUMBER
NY
01
—
6450165
AETNA PROVIDER NUMBER
NY
Enumeration date
11/30/2006
Last updated
09/11/2025
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