| Watervliet Jr/sr High School | |
|
1245 Hillside Dr Watervliet NY 12189-2406 | |
| (518) 629-3270 | |
| (518) 629-3262 |
| Full Name | Watervliet Jr/sr High School |
|---|---|
| Speciality | Clinic/Center |
| Location | 1245 Hillside Dr, Watervliet, New York |
| Authorized Official Name and Position | David Shippee (PRESIDENT & CEO) |
| Authorized Official Contact | 5185914459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watervliet Jr/sr High School 920 Lark Dr Albany NY 12207-1300 Ph: (518) 591-4459 | Watervliet Jr/sr High School 1245 Hillside Dr Watervliet NY 12189-2406 Ph: (518) 629-3270 |
| NPI Number | 1699256305 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 12/18/2018 |
| Medicare PECOS PAC ID | 6507830031 |
|---|---|
| Medicare Enrollment ID | O20181227002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699256305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hudson Shores Medical Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 2nd Ave, Watervliet, NY 12189 Phone: 518-272-0028 | |
Mahendra Ganjhu, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 23rd St, Watervliet, NY 12189 Phone: 518-274-2289 Fax: 518-274-2171 | |
Baghel Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2425 Broadway, Watervliet, NY 12189 Phone: 518-233-1140 Fax: 518-233-1165 | |
Ram B Agrawal, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 2nd Ave, Watervliet, NY 12189 Phone: 518-272-0028 Fax: 518-272-4859 | |
Seton Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bell Tower Dr, Watervliet, NY 12189 Phone: 518-268-6390 | |
Razaali H. Mamdani, Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 2nd Ave, Watervliet, NY 12189 Phone: 518-272-0028 |