NPIMap

Organization Active NPI

Adirondack Medical Center

  • General Acute Care Hospital
  • Saranac Lake, NY
National Provider Identifier
1699709576
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1623001H Issued in NY
Legal business name
ADIRONDACK MEDICAL CENTER
Practice address
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone
(518) 897-2317
Fax
(518) 897-2423
NPI assigned
Jul 10, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adele Pickreign
Title
Credentialing Coordinator
Phone
(518) 897-4725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1623001H NY Primary

Addresses

Primary practice location

2233 State Route 86
Saranac Lake, NY 12983-5644

Mailing address

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 897-2317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040114000041 NY Part A Provider - Hospital 9638081284 1 other NPI on this enrollment
Practice locations: Saranac Lake, NY
O20181220002829 NY MDPP Supplier - in-Person MDPP Supplier 9638081284 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saranac Lake, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699709576. Details of each certification follow.

Hospital certification: CCN 330079

Legal name
ADIRONDACK MEDICAL CENTER
Doing business as
ADIRONDCK MEDICAL CENTER-PHYSICIAN
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 15, 2022
Beds
95
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Dec 21, 1990 in NY
Enrollment address
2233 State Route 86
Saranac Lake, NY 12983
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Adirondack Medical Center - Saranac LakeCCN 330079 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

285 Old Lake Colby Rd
Saranac Lake, NY 12983
Phone (518) 891-4141

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charles Carroll Individual Corporate DirectorBoard Member Sep 1, 2010
Stanley T Urban Individual Corporate OfficerChair Board of Trustees Jan 1, 2007
Edward Roetman Individual Corporate DirectorBoard Member Jan 1, 2007
Jeannie Cross Individual Corporate DirectorBoard Member Sep 1, 2010
Adele Lyon Individual W-2 Managing Employee Jan 1, 2025
Julie Connors Individual Corporate DirectorBoard Member Sep 1, 2005
Laurie Bergamini Individual Corporate DirectorBoard Member Jan 1, 2009
Carlos Caguiat Individual Corporate DirectorBoard Member Jul 1, 2004
Joan Kelly Individual Corporate DirectorBoard Member Jan 1, 2009
Julie Wood Individual Corporate DirectorDirector of PFS Jan 1, 2025
Susan Delehany Individual Corporate OfficerVice Chair Board of Trustees Jan 1, 2007
Richard M Moccia Individual Corporate DirectorBoard Member Feb 1, 2011
Barry Brogan Individual Corporate DirectorBoard Member Jan 1, 2009
John Hopkinson Individual Corporate OfficerSecretary Board of Trustees Apr 1, 2005
Joanne a Bruce Individual W-2 Managing Employee Jan 1, 1980

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

Affiliated clinicians 254

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 254

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1699709576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 STATE ROUTE 86",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-897-2317",
            "fax_number": "518-897-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 STATE ROUTE 86",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-897-2317",
            "fax_number": "518-897-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "PICKREIGN",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "518-897-4725"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "1623001H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

Verify at the official NPI Registry.