Organization
CANTON POTSDAM HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B ACKER (CEO)
31526154010
Entity
Organization
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 265-3300
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0771741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354196
—
NY
Enumeration date
10/25/2012
Last updated
10/25/2012
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