| Organization Name: | MOSES LUDINGTON HOSPITAL |
| NPI Number: | 1083607915 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN HAUGHNEY (CEO) |
| Mailing Address: | 1019 Wicker St Ticonderoga |
| State: | NY US |
| Postal Code: | 128831039 |
| Phone Number: | 5185853700 |
| Fax Number: | 5185852576 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 12/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 1564701C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |