ELLIS PRIMARY CARE - MALTA – NPI #1881174381
Clinic/Center

ELLIS PRIMARY CARE - MALTA is an AHC clinic located in MALTA, NY. NPPES has assigned the NPI number 1881174381 to ELLIS PRIMARY CARE - MALTA on August 15, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ELLIS PRIMARY CARE - MALTA” 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 - MALTA below.

NPI Profile for
ELLIS HOSPITAL

NPI Number
1881174381
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 - MALTA
Primary location
2537 ROUTE 9
SUITE 203
MALTA, NY 12020
Phone: (518) 289-2400 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - ELLIS PRIMARY CARE - MALTA 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.