National Provider Identifier Database

ST JOSEPHS REHABILITATION CENTER INC
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

ST JOSEPHS REHABILITATION CENTER, INC
159 GLENWOOD DR
SARANAC LAKE, NY12983-2385
Phone: 518-891-3950
Fax: 518-891-6134
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X
Community/Behavioral Health 251S00000X
Rehabilitation, Substance Use Disorder 261QR0405X
Rehabilitation, Substance Use Disorder Unit 276400000X
Substance Abuse Disorder Rehabilitation Facility 324500000X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for ST JOSEPHS REHABILITATION CENTER, INC

NPI Number 1629172762
Legal business name
LBN
ST JOSEPHS REHABILITATION CENTER, INC
Authorized official ZACHARY RANDOLPH - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/11/2006
Last updated 01/31/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 00689758

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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