Organization
ELIZABETHTOWN COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY BOULA (CEO)
(518) 873-6377
Entity
Organization
Contact information
Practice address
75 PARK ST, ELIZABETHTOWN, NY 12932-2300
(518) 873-6377
(518) 873-2315
Mailing address
75 PARK ST, PO BOX 277, ELIZABETHTOWN, NY 12932-0277
(518) 873-6377
(518) 873-2315
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354274
—
NY
Enumeration date
10/27/2005
Last updated
02/17/2024
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