NPIMap

Organization Active NPI

Adirondack Medical Center

  • General Acute Care Hospital
  • Saranac Lake, NY
National Provider Identifier
1922135367
Registry record updated Aug 19, 2024
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
Renal Dialysis Center
Saranac Lake, NY 12983-5644
Phone
(518) 897-2641
Fax
(518) 897-2642
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
General Acute Care Hospital 282N00000X 1623001H NY Primary

Addresses

Primary practice location

2233 State Route 86
Renal Dialysis Center
Saranac Lake, NY 12983-5644

Mailing address

PO Box 1380
Attn: Provider Enrollment
Saranac Lake, NY 12983-5644
Phone (518) 897-4725

Other identifiers 1

IdentifierTypeStateIssuer
00363213MedicaidNY

Other names 1

  • Adirondack Medical Center - SL Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000006 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 9638081284 Practice locations: Saranac Lake, NY

National Provider Directory

National Provider Directory
Tax ID family
Adirondack Medical Cent7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Other NPIs with the same Medicare PAC ID 7

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

Practitioners 86

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

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1922135367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-897-4725",
            "fax_number": "518-897-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 STATE ROUTE 86",
            "address_2": "RENAL DIALYSIS CENTER",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-897-2641",
            "fax_number": "518-897-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "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": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "1623001H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00363213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adirondack Medical Center - SL Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.