Baywood Clinic

LBN: 820 River Street Inc.
Baywood Clinic is an health care organization with primary practice located at 551 Bay Rd , Queensbury NY 12804-1441. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. 820 River Street Inc. can be contacted via phone (518) 798-4221, or through Young, Peter via phone (518) 377-2448.

Contact Information

Primary practice address
551 Bay Rd Queensbury NY 12804-1441
Phone: (518) 798-4221
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Young, Peter C.E.O.
Phone: (518) 377-2448

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1700908530
LBN Legal business name 820 River Street Inc.
DBA Doing business as Baywood Clinic
Authorized official Young, Peter C.E.O.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Feb 24th, 2015 - about 9 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 1700908530 NPPES
New York MEDICAID 03007114

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