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Provider Information for 1043267727

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SAMARITAN HOSPITAL OF TROY, NEW YORK

Other Name:   Other Name: ALBANY MEMORIAL CAMPUS HAND CENTER
  Other Name: ALBANY MEMORIAL CAMPUS REHABILITATION SERVICES
  Other Name: AMBULATORY SURGERY PROGRAM AT AMH
  Other Name: ANTICOAGULATION MANAGEMENT CLINIC
  Other Name: CLIFTON PARK PHYSICAL REHABILITATION
  Other Name: EAST GREENBUSH PHYSICAL REHABILITATION
  Other Name: MICA OUTPATIENT CLINIC
  Other Name: NORTHEAST IMAGING
  Other Name: SAMARITAN BEHAVIORAL HEALTH SERVICES
  Other Name: SAMARITAN HOSPITAL CARDIAC CATHERIZATION
  Other Name: SAMARITAN HOSPITAL INPATIENT REHABILITATION
  Other Name: SAMARITAN HOSPITAL OUTPATIENT DETOXIFICATION
  Other Name: SAMARITAN SKIN & OSTOMY SERVICES
  Other Name: ST. MARY'S STROKE CENTER
  Other Name: ST. PETER'S HEALTH PARTNERS PELVIC HEALTH CENTER
  Other Name: ST. PETER'S MEDICAL ONCOLOGY/HEMATOLOGY
  Other Name: ST. PETER'S SLEEP CENTER
  Other Name: ST. PETER'S THERAPY SERVICES
Organization Subpart: YES

Organization NPI: 1043267727

Calendar   Last Updated:  2021-10-08
  Certification Date:  2021-10-08

Details

Name Value
NPI 1043267727
Enumeration Date 2006-05-28
NPI Type 2- Organization
Status Active
Authorized Official Information Name: COURTNEY KNOWLES
Title: CREDENTIALING MANAGER
Phone: 518-525-5634
Mailing Address PO BOX 14890
ALBANY, NY 12212-4890
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 2215 BURDETT AVE
TROY, NY 12180-2466
United States

Phone: 518-271-3300 | Fax:
View Map External Link
Secondary Practice Address 600 NORTHERN BLVD ALBANY MEMORIAL CAMPUS
ALBANY, NY 12204-1004
United States

Phone: 518-471-3221 | Fax:
View Map External Link

1300 MASSACHUSETTS AVE ST MARY'S CAMPUS
TROY, NY 12180-1628
United States

Phone: 518-268-5000 | Fax:
View Map External Link

648 PLANK ROAD SUITE 101 CLIFTON PARK PHYSICAL REHABILITATION
CLIFTON PARK, NY 12065-2064
United States

Phone: 518-268-4800 | Fax:
View Map External Link

147 HOOSICK STREET MASSRY CENTER ST. PETER'S THERAPY SERVICES
TROY, NY 12180-2393
United States

Phone: 518-268-5749 | Fax:
View Map External Link

1801 6TH AVENUE MICA OUTPATIENT CLINIC
TROY, NY 12180-3478
United States

Phone: 518-271-1122 | Fax:
View Map External Link

1 TALLOW WOOD DR ST. PETER'S MEDICAL ONCOLOGY/HEMATOLOGY
CLIFTON PARK, NY 12065-2807
United States

Phone: 518-268-5060 | Fax:
View Map External Link

2 EMPIRE DRIVE SUITE 202 EAST GREENBUSH PHYSICAL REHABILITATION
RENSSELAER, NY 12144-5730
United States

Phone: 518-286-4990 | Fax:
View Map External Link

279 TROY RD
RENSSELAER, NY 12144-9518
United States

Phone: 518-286-1922 | Fax:
View Map External Link

147 HOOSICK ST STE E
TROY, NY 12180-2393
United States

Phone: 518-268-5380 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Direct Messaging Address payer.credentialing@sphp.com SPHP Payer Credentialing Direct CCD Samaritan Hospital of Troy, New York 2215 BURDETT AVE
TROY, NY 12180-2466
United States
Other Identifiers
Issuer State Number
MEDICAID NY 02636693
MEDICAID NY 02993713
MEDICAID NY 00318805
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 282N00000X - General Acute Care Hospital NY 4102002H
No 193200000X MULTI-SPECIALTY GROUP
235Z00000X - Speech-Language Pathologist
No 251B00000X - Case Management
No 261QM1300X - Clinic/Center Multi-Specialty
No 193200000X MULTI-SPECIALTY GROUP
207Q00000X - Family Medicine
No 193200000X MULTI-SPECIALTY GROUP
207R00000X - Internal Medicine
No 193200000X MULTI-SPECIALTY GROUP
207RH0003X - Internal Medicine Hematology & Oncology
No 193200000X MULTI-SPECIALTY GROUP
2085R0001X - Radiology Radiation Oncology
No 193200000X MULTI-SPECIALTY GROUP
2085R0202X - Radiology Diagnostic Radiology
No 193200000X MULTI-SPECIALTY GROUP
225100000X - Physical Therapist
No 193200000X MULTI-SPECIALTY GROUP
225X00000X - Occupational Therapist
No 273R00000X - Psychiatric Unit NY 4102002H
No 273Y00000X - Rehabilitation Unit
No 193200000X MULTI-SPECIALTY GROUP
363A00000X - Physician Assistant
No 193200000X MULTI-SPECIALTY GROUP
363L00000X - Nurse Practitioner