Organization Name: | HUDSON RIVER HEALTHCARE, INC. |
NPI Number: | 1851585962 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE K. NOLON (CEO) |
Mailing Address: | 327 Front St Hudson River Healthcare, Inc. Greenport |
State: | NY US |
Postal Code: | 119441515 |
Phone Number: | 6314772678 |
Fax Number: | 6314773022 |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 10/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 5901200R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |