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Organization

ST MARYS HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER K LOPEZ B.SC.,M.S.IHCM (DIRECTOR PRIMARY & SPECIALTY CARE)
(518) 841-7407
Entity
Organization

Contact information

Practice address
427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT, AMSTERDAM, NY 12010-1054
(518) 841-7407
(518) 841-7121
Mailing address
427 GUY PARK AVE, ST MARYS HEALTHCARE -PRIMARY&SPECIALTY CARE, AMSTERDAM, NY 12010-1054
(518) 841-7407
(518) 841-7121

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02176332
NY
Enumeration date
03/21/2006
Last updated
09/03/2019
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Product
  • Claims
  • Eligibility checks
  • EDI platform