Provider Demographics
NPI:1740557735
Name:ADIRONDACK HEALTH INSTITUTE
Entity Type:Organization
Organization Name:ADIRONDACK HEALTH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FISCAL & CORPORATE AFFA
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOMKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-761-0300
Mailing Address - Street 1:33 TOM PHELPS LN
Mailing Address - Street 2:
Mailing Address - City:MINEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 CAREY RD
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-7880
Practice Address - Country:US
Practice Address - Phone:518-761-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty