Crotched Mountain Community Services

LBN: Crotched Mountain Community Services
Crotched Mountain Community Services is an health care organization with primary practice located at 1873 Western Ave , Albany NY 12203-5028. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Crotched Mountain Community Services can be contacted via phone (518) 452-1214, or through Shumway, Donald via phone (603) 547-3311.

Contact Information

Primary practice address
1873 Western Ave Albany NY 12203-5028
Phone: (518) 452-1214
Fax: (518) 452-3546
Website:
Map and Directions
Authorized official contact:
Name: Shumway, Donald
Phone: (603) 547-3311

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X New York

Profile Details

NPI number 1356493894
LBN Legal business name Crotched Mountain Community Services
DBA Doing business as
Authorized official Shumway, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356493894 NPPES
New York MEDICAID 01739380

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