ELLIS PRIMARY CARE - GLENVILLE – NPI #1548740848
Clinic/Center

ELLIS PRIMARY CARE - GLENVILLE is an AHC clinic located in GLENVILLE, NY. NPPES has assigned the NPI number 1548740848 to ELLIS PRIMARY CARE - GLENVILLE on August 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELLIS PRIMARY CARE - GLENVILLE” is a dba name, the actual legal business name for this organization is ELLIS HOSPITAL. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLIS PRIMARY CARE - GLENVILLE below.

NPI Profile for
ELLIS HOSPITAL

NPI Number
1548740848
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELLIS HOSPITAL
Doing Business As (dba): ELLIS PRIMARY CARE - GLENVILLE
Primary location
115 SARATOGA RD STE 200
GLENVILLE, NY 12302-4224
Phone: (518) 243-3360 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - ELLIS PRIMARY CARE - GLENVILLE is subpart of another organization.
Authorized Official
PAUL MILTON
CEO
Phone: (518) 243-4175
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 NY 4601001H

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.