820 River Street Inc. in Queensbury - Substance Abuse Rehabilitation Facility
820 River Street Inc. - NPI 1700908530
820 River Street Inc. is a Substance Abuse Rehabilitation Facility in Queensbury, New York. 820 River Street Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for 820 River Street Inc. is 1700908530. The last update date is 2015-02-24.
820 River Street Inc.'s current location address is 551 Bay Rd, Queensbury, New York. You can contact this provider via phone number 5187984221. The mailing address for 820 River Street Inc. is 551 Bay Rd, Queensbury, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 820 River Street Inc. |
|---|---|
| Address | 551 Bay Rd, Queensbury, New York |
| Phone Number | 5187984221 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Young Peter |
| Credentials | C.E.O. |
| Telephone Number | 5183772448 |
NPI Number Detail
| NPI Number | 1700908530 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2015-02-24 |
Provider Mailing Address Detail
| Address | 551 Bay Rd |
|---|---|
| City | Queensbury |
| State | New York (NY) |
| Post Code | 128041441 |
| Phone Number | 5187984221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3007114 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to 820 River Street Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The 820 River Street Inc. has been assigned the NPI (National Provider Identifier) 1700908530. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where 820 River Street Inc. is physically located?
The 820 River Street Inc. is physically situated at the following address: 551 Bay Rd, Queensbury, NY, 128041441.
What is 820 River Street Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for 820 River Street Inc. is Substance Abuse Rehabilitation Facility, and the taxonomy code that classifies this field of practice is 324500000X.
On what date was the 1700908530 assigned to 820 River Street Inc.?
The 820 River Street Inc. was issued its 1700908530 on 2007-04-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to 820 River Street Inc. last refreshed?
The information related to the 820 River Street Inc., including its address, specialty, and other relevant details, was last updated on 2015-02-24.