FORT HUDSON NURSING CENTER, INC.
NPI 1417947722
Skilled Nursing Facility in Fort Edward, NY

Active since October 27, 2005CLIA 33D0164714 · Waiver
319 BROADWAY, FORT EDWARD, NY 12828(518) 747-2811(518) 747-2740 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fort Hudson Nursing Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT HUDSON NURSING CENTER, INC. (NPI 1417947722) is a healthcare organization registered as a skilled nursing facility in Fort Edward, New York and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Andrew A. Cruikshank, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1417947722
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFORT HUDSON NURSING CENTER, INC.
Location Address319 BROADWAYFort Edward, NY 12828-1221
Mailing Address319 BroadwayFort Edward, NY 12828-1221 · (518) 747-2811 · Fax (518) 747-2740
Fax(518) 747-2740
Organization SubpartNo
Authorized OfficialAndrew A. CruikshankCeo/administrator · (518) 747-2811
Enumeration DateOctober 27, 2005
Last NPPES UpdateMarch 11, 2008
NPI 1417947722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NY · 5724302N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
319 BROADWAY, Fort Edward, NY 12828

Other Identifiers 4

Medicaid00313557NY
Medicare ID-Type Unspecified335300
Other5724302NNY · Operating Certificate
Medicaid01380249NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0164714

Fort Hudson Nursing Center · Fort Edward, NY
Active · expires Mar 26, 2027
CLIA Number33D0164714
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. John T. Quaresima
Laboratory Phone(518) 747-2811
Laboratory LocationFort Hudson Nursing Center319 Upper Broadway, Fort Edward, NY 12828
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
319 BROADWAY
FORT EDWARD, NY 12828
Occupational Therapist
319 BROADWAY
FORT EDWARD, NY 12828
Home Health
319 BROADWAY
FORT EDWARD, NY 12828
Physical Therapy Assistant
319 BROADWAY
FORT EDWARD, NY 12828
Clinic/Center (Adult Day Care)
319 BROADWAY
FORT EDWARD, NY 12828
Occupational Therapist
319 BROADWAY
FORT EDWARD, NY 12828
Home Health
319 BROADWAY
FORT EDWARD, NY 12828
Family Medicine
319 BROADWAY
FORT EDWARD, NY 12828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Hudson Nursing Center, Inc.'s NPI number?

The NPI number for Fort Hudson Nursing Center, Inc. is 1417947722. It was assigned to this organization in the NPPES registry on October 27, 2005.

Where is Fort Hudson Nursing Center, Inc. located?

Fort Hudson Nursing Center, Inc. is located at 319 Broadway, Fort Edward, NY 12828. The listed phone number is (518) 747-2811.

What is Fort Hudson Nursing Center, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Fort Hudson Nursing Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0164714) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Hudson Nursing Center, Inc. was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.