Conifer Park, Inc

LBN: Conifer Park, Inc
Conifer Park, Inc is an health care organization with primary practice located at 79 Glenridge Rd , Glenville NY 12302-4523. 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. Conifer Park, Inc can be contacted via phone (518) 952-8142, or through Betts, Andrea M via phone (518) 952-8142.

Contact Information

Primary practice address
79 Glenridge Rd Glenville NY 12302-4523
Phone: (518) 952-8142
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Betts, Andrea M
Phone: (518) 952-8142

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 00000 New York

Profile Details

NPI number 1538180351
LBN Legal business name Conifer Park, Inc
DBA Doing business as
Authorized official Betts, Andrea M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Nov 2nd, 2023 - about last year

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 1538180351 NPPES
New York MEDICAID 01420800

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