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Contact Information

HUDSON MOHAWK RECOVERY CENTER
1724 5TH AVE
TROY, NY12180-3320
 Phone: 518-272-3918
 Fax: 518-272-6391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder Unit

276400000X
Indicates primary specialty

NPI Profile & details for HUDSON MOHAWK RECOVERY CENTER

NPI # 1851452767
LBN Legal business name HUDSON MOHAWK RECOVERY CENTER
Authorized official TOM BENDON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 03/16/2015 - About 11 years ago
Identifiers
NY License # 090510570
NY Medicaid 00679167
NY Other 900267 MVP INSURANCE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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