AMHS Affiliation Verification Lookup Portal
Providers for Albany Med Health System
Albany Medical Center Hospital
Columbia Memorial Hospital
Glens Falls Hospital
Malta Med Emergent Care
Placeholder Facility 2
Referring Provider
The Saratoga Hospital
-- All Facilities --
Provider Last Name
Last name is required.
Provider First Name
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Provider NPI
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NPI number is invalid. Must be a ten-digit number.
Required Information
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Requester Name
Name is required.
Requester Title
Title is required.
Requester Organization
Organization is required.
Requester Phone
Phone is required.
Requester Fax
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Requester Email
Email is required.
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 Albany Med Health System 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 Albany Med Health System and its affiliates and 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 within the Albany Med Health System.
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Provider Search
Please Enter the Following Information:
Provider Last Name
Provider First Name
Provider NPI
Requester Name
Requester Title
Requester Organization
Requester Phone
Requester Fax
Requester Email