Adirondack Medical Center
Organization Active NPI General Acute Care Hospital · Saranac Lake, NY
NPI 1699709576 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1699709576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 1623001H (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
- Organization subpart
- No
Authorized official
- Name
- Adele Pickreign
- Title
- Credentialing Coordinator
- Phone
- (518) 897-4725
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 7
Related certifications (CCN) 1
Practitioners 89
-
Adam Abodeely, M.D.
-
Timothy K Atkinson, M.D.
-
Eve M Burns, D.O.
-
Michael A Hill, MD
-
Erin Emily Ricci, MD
-
Claude R Roland, MD
-
Amy Beth Corliss, M.D.
-
Romen K Jha, MD
-
Sara F Ames, NP
-
Elizabeth Bartos, M.D.
-
Tiffany Bombard, MD
-
Daniel P Bullock, MD
-
Eugene Byrne, MD
-
Prem C Chatpar, M.D.
-
Karen Cooper, M.D.
-
Lauren Crowl, PA
-
John White Decker, M.D.
-
Haley Mae Del Duca, FNP-C
-
Taylor Anne Dempsey, PA-C
-
Michael Dinkels, M.D.
Affiliated clinicians 254
-
Adam Abodeely, M.D.
-
Kelley Lynne Abrams, FNP
-
Armin Afsar-Keshmiri, M.D.
-
Aref Agheli, MD
-
Alveena Altaf, MD
-
Kristin Ambler, M.D.
-
Sara F Ames, NP
-
Sergio Apuzzo, MD, PHD
-
Joseph Henry Arguelles, M.D.
-
Tracy Ann Arguelles, ANP
-
Timothy K Atkinson, M.D.
-
Nicole A Baker, FNP
-
Casey J Barcomb, PA-C
-
Elizabeth Bartos, M.D.
-
Melissa J Benardot, CPNP
-
Suzanne M Blood, MD
-
Anita M Bodrogi, DO
-
Kevin P Bolan, RPA C
-
Tiffany Bombard, MD
-
Connor Joseph Bond, APRN, FNP-BC
Medicare Care Compare: Hospital
- Listed as
- Adirondack Medical Center - Saranac Lake
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
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
- Corporation · Non-profit
- Incorporated
- Dec 21, 1990 in NY
- Enrollment address
- 2233 State Route 86
Saranac Lake, NY 12983 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Charles Carroll |
Corporate Director |
Sep 1, 2010 | |
| Stanley T Urban |
Corporate Officer |
Jan 1, 2007 | |
| Edward Roetman |
Corporate Director |
Jan 1, 2007 | |
| Jeannie Cross |
Corporate Director |
Sep 1, 2010 | |
| Adele Lyon |
W-2 Managing Employee | Jan 1, 2025 | |
| Julie Connors |
Corporate Director |
Sep 1, 2005 | |
| Laurie Bergamini |
Corporate Director |
Jan 1, 2009 | |
| Carlos Caguiat |
Corporate Director |
Jul 1, 2004 | |
| Joan Kelly |
Corporate Director |
Jan 1, 2009 | |
| Julie Wood |
Corporate Director |
Jan 1, 2025 | |
| Susan Delehany |
Corporate Officer |
Jan 1, 2007 | |
| Richard M Moccia |
Corporate Director |
Feb 1, 2011 | |
| Barry Brogan |
Corporate Director |
Jan 1, 2009 | |
| John Hopkinson |
Corporate Officer |
Apr 1, 2005 | |
| Joanne a Bruce |
W-2 Managing Employee | Jan 1, 1980 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1623001H | NY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330079 | Other | NY | MEDICARE |
| 00363213 | Medicaid | NY |
Other providers in Saranac Lake, NY
- Adirondack Gastrointestinal and Colorectal Surgery PLLC
- Adirondack Internal Medicine & Pediatrics, PC
- Adirondack Leadership Expeditions
- Adirondack Medical Center
- Adirondack Medical Center
- Adirondack Medical Center
- Adirondack Medical Center
- Adirondack Medical Center
- Adirondack Medical Center
- Adirondack Medical Center
All providers in Saranac Lake, NY · General Acute Care Hospital in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.