Interlakes Dental Clinic

LBN: Moses Ludington Hospital
Interlakes Dental Clinic is an health care organization with primary practice located at 1019 Wicker St , Ticonderoga NY 12883-1039. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Moses Ludington Hospital can be contacted via phone (518) 585-3855, or through Smith, Tammy J via phone (518) 585-3784.

Contact Information

Primary practice address
1019 Wicker St Ticonderoga NY 12883-1039
Phone: (518) 585-3855
Fax: (518) 585-3808
Website:
Map and Directions
Authorized official contact:
Name: Smith, Tammy J
Phone: (518) 585-3784

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1245360718
LBN Legal business name Moses Ludington Hospital
DBA Doing business as Interlakes Dental Clinic
Authorized official Smith, Tammy J
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 3rd, 2008 - about 18 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 1245360718 NPPES
New York Other 9175850 FIDELIS CARE NY
New York MEDICAID 02225730 FIDELIS CARE NY

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