Provider Demographics
NPI:1780848283
Name:CLADDAGH COMMISSION, INC.
Entity Type:Organization
Organization Name:CLADDAGH COMMISSION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMOREAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-947-5857
Mailing Address - Street 1:7030 ERIE RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:NY
Mailing Address - Zip Code:14047-9416
Mailing Address - Country:US
Mailing Address - Phone:716-947-5857
Mailing Address - Fax:716-947-5957
Practice Address - Street 1:7030 ERIE RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:NY
Practice Address - Zip Code:14047-9416
Practice Address - Country:US
Practice Address - Phone:716-947-5857
Practice Address - Fax:716-947-5957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02256013Medicaid
NY01997204Medicaid
NY01489349Medicaid
NY01750325Medicaid
NY02246353Medicaid
NY02693034Medicaid