Provider Demographics
NPI:1851601108
Name:ADIRONDACK MEDICAL CENTER
Entity Type:Organization
Organization Name:ADIRONDACK MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-897-2479
Mailing Address - Street 1:285 COUNTY ROUTE 47
Mailing Address - Street 2:WOUND & HYPERBARIC TREATMENT CENTER
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-5403
Mailing Address - Country:US
Mailing Address - Phone:518-897-2479
Mailing Address - Fax:518-897-2530
Practice Address - Street 1:285 COUNTY ROUTE 47
Practice Address - Street 2:WOUND & HYPERBARIC TREATMENT CENTER
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-5403
Practice Address - Country:US
Practice Address - Phone:518-897-2479
Practice Address - Fax:518-897-2530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital