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ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION INC. NPI 1902960610


NPI Information

NPI: 1902960610
Provider Name: ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC.

Other Name: SMITH HOUSE HEALTH CARE CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
39 FARRELL RD
WILLSBORO, NY
ZIP 12996
Phone: (518) 963-4275
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ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC. is a federally qualified health center (fqhc) clinic center in Willsboro, NY. ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC. NPI is 1902960610. The provider is registered as an organization entity type.
The provider Other Name Is Smith House Health Care Center.

The provider's business location address is:

39 FARRELL RD
WILLSBORO, NY
ZIP 12996-904
Phone: (518) 963-4275

The provider's authorized official is Robin A. Pierce .
The authorized official title is Executive Director and has the following contact phone number (518) 963-4275.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 8/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)1566200RNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
155965AMEDICARE PINNEW YORK
2331970MEDICARE OSCAR/CERTIFICATIONNEW YORK
3FQHCLA218OTHERNEW YORK340B ID
400473478MEDICAIDNEW YORK
5333810MEDICARE OSCAR/CERTIFICATIONNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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