Associated Community Action of the North East Adirondack Region, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

1566200R Issued in NY

Legal business name

ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC.

Practice address

39 Farrell Rd
Willsboro, NY 12996-3904

Phone

(518) 963-4275

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Robin A. Pierce, CPA

Title

Executive Director

Phone

(518) 963-4275

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smith House Health Care Center Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Associated Community Action of the North East Adirondack Region, Inc.

  • Physical Therapist
  • Essex, NY
  • NPI 1275766032
  NPPES parent name
• Associated Community Action of the North East Adirondack Region, Inc.

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1932331667
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon A McMeekin-Hagadorn, RPAC

  • Physician Assistant
  • Plattsburgh, NY
  • NPI 1710920186
  NPD (past)
• Jeffrey William Sherman, D.O.

  • Family Medicine Physician
  • Alexandria, VA
  • NPI 1134477789
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1902960610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FARRELL RD",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "129963904",
            "telephone_number": "518-963-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FARRELL RD",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "129963904",
            "telephone_number": "518-963-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-963-4275",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "1566200R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473478",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "340B ID",
            "identifier": "FQHCLA218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith House Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lee T Ackley, RPA-C
• Adirondack Apothecary LLC
• Adirondack Apothecary LLC
• David George Bonfante, D.D.S.
• Donna Ann Brown-Joerg
• Brian Callahan, P.A.
• Karen Crowningshield
• Essential Adirondack Therapy License Clinical Social Work, PLLC.

• Federally Qualified Health Center (FQHC) in Willsboro, NY
• Providers in Willsboro, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.