Organization
HMP OF SAMARITAN
Active
Parent organization
HOSPITALIST MANAGEMENT GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITALIST MANAGEMENT GROUP
Authorized official
TAMMY SHANNON (CREDENTIALING SPECIALIST)
(330) 994-0438
Entity
Organization
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 270-3094
Mailing address
40 ROSELAWN AVE, TROY, NY 12180-2138
(518) 273-9701
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
30305614
NY
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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