Adirondack Medical Center Dialysis

LBN: Adirondack Medical Center
Adirondack Medical Center Dialysis is an health care organization with primary practice located at 114 Wawbeek Ave , Tupper Lake NY 12986-2038. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Adirondack Medical Center can be contacted via phone (518) 359-4900, or through Stratford, Susan S via phone (518) 897-2636.

Contact Information

Primary practice address
114 Wawbeek Ave Tupper Lake NY 12986-2038
Phone: (518) 359-4900
Fax: (518) 891-5097
Website:
Map and Directions
Authorized official contact:
Name: Stratford, Susan S CPC
Phone: (518) 897-2636

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 1623001H New York

Profile Details

NPI number 1356656045
LBN Legal business name Adirondack Medical Center
DBA Doing business as Adirondack Medical Center Dialysis
Authorized official Stratford, Susan S CPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2010
Last updated Oct 16th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356656045 NPPES
New York Other 33-3564 MEDICARE CCN

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