Organization
ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC.
Active
Organization
ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC.
Active
Other names
Smith House Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN A. PIERCE CPA (EXECUTIVE DIRECTOR)
(518) 963-4275
Entity
Organization
Contact information
Practice address
39 FARRELL RD, WILLSBORO, NY 12996-3904
(518) 963-4275
Mailing address
39 FARRELL RD, WILLSBORO, NY 12996-3904
(518) 963-4275
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1566200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473478
—
NY
01
—
FQHCLA218
340B ID
NY
Enumeration date
12/20/2006
Last updated
08/18/2009
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