Verification Lookup Portal
Providers for Bassett Healthcare Network
AO Fox Hospital
Bassett Medical Center
Cobleskill Regional Hospital
Little Falls Hospital
O'Connor Hospital
Provider Last Name
Last name is required.
Provider First Name
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Required Information
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Requester Name
Name is required.
Requester Title
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Requester Organization
Organization is required.
Requester Address
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Requester City, State, Zip
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Requester Phone
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Requester Email
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I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification information. Such signed release and immunity holds harmless and indemnifies Bassett Healthcare Network and individuals providing information pursuant to this request, its medical staff, board of directors and each of their respective members and designees, the administration of such Bassett Healthcare Network and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's hospital affiliation with Bassett Healthcare Network.
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Provider Search
Please Enter the Following Information:
Facility
Provider Last Name
Provider First Name
Requester Name
Requester Title
Requester Organization
Requester Address
Requester City, State, Zip
Requester Phone
Requester Email