Basic Information
| Provider Information | |||||||||
| NPI: | 1174009112 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LITTLE FALLS HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 140 BURWELL ST | ||||||||
| Address2: | |||||||||
| City: | LITTLE FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 133651794 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3158235281 | ||||||||
| FaxNumber: | 3158235383 | ||||||||
| Practice Location | |||||||||
| Address1: | 36 SLAWSON ST | ||||||||
| Address2: | |||||||||
| City: | DOLGEVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 133291238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3154291784 | ||||||||
| FaxNumber: | 3154297293 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2018 | ||||||||
| LastUpdateDate: | 02/04/2020 | ||||||||
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| AuthorizedOfficialLastName: | VIELKIND | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 3158235281 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.