Provider Demographics
NPI:1669789293
Name:CAMPHILL HUDSON INC.
Entity type:Organization
Organization Name:CAMPHILL HUDSON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TENNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-329-4851
Mailing Address - Street 1:84 CAMP HILL RD
Mailing Address - Street 2:
Mailing Address - City:COPAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12516-1400
Mailing Address - Country:US
Mailing Address - Phone:518-329-4851
Mailing Address - Fax:518-329-0377
Practice Address - Street 1:308 ALLEN ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2440
Practice Address - Country:US
Practice Address - Phone:518-329-4851
Practice Address - Fax:518-329-0377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services