Organization
ADIRONDACK MEDICAL CENTER
Active
Other names
Adirondack Medical Center - SL Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
ADELE PICKREIGN (CREDENTIALING COORDINATOR)
(518) 897-4725
Entity
Organization
Contact information
Practice address
2233 STATE ROUTE 86, RENAL DIALYSIS CENTER, SARANAC LAKE, NY 12983-5644
(518) 897-2641
(518) 897-2642
Mailing address
PO BOX 1380, ATTN: PROVIDER ENROLLMENT, SARANAC LAKE, NY 12983-5644
(518) 897-4725
(518) 897-2423
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
1623001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00363213
—
NY
Enumeration date
02/27/2007
Last updated
08/19/2024
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