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:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245360718 | NPPES |
New York | Other | 9175850 | FIDELIS CARE NY |
New York | MEDICAID | 02225730 | FIDELIS CARE NY |
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