THE ADDICTIONS CARE CENTER OF ALBANY, INC (NPI# 1437101417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437101417 |
| Entity Type | Organization |
| Organization Name | THE ADDICTIONS CARE CENTER OF ALBANY, INC |
| Other Organization Name | ALBANY CITIZENS COUNCIL ON ALCOHOLISM AND OTHER CHEMICAL DEPENDENCIES, |
| Practice Address |
1044 Broadway Albany NY 12204 |
| Mailing Address |
90 Mccarty Avenue Administration-bldg 1 Albany NY 12202-1151 |
| Practice Telephone | 5184342367 |
| Practice Fax Number | 5184342372 |
| Mailing Telephone | 5184655470 |
| Mailing Fax Number | 5184270854 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MR. KEITH W STACK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5184655470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | VALUE OPTIONS | 341553 | 01 |
| NY | MVP | 341553 | 01 |
| NY | 01034239 | 05 | |
| NY | WELLCARE | 1056910 | 01 |
| NY | CDPHP / SPBHM | 10056185 | 01 |
| NY | CDPHP | 110056185001 | 01 |
| NY | FIDELIS | 040401001994 | 01 |
| NY | VALUEOPTIONS | 142863 | 01 |
| Other Name | Type Code |
|---|---|
| Albany Citizens Council on Alcoholism and Other Chemical Dependencies, | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 79 Glenwood Ave, Queensbury, NY 128041762 | 5184070564 | 5186813726 |
| 90 Mccarty Ave, Albany, NY 122021151 | 5184348083 | 5184342523 |
| Street Address |
1044 BROADWAY |
| City | ALBANY |
| State | NY |
| Zip Code | 12204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
| 1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
| 1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
| 1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
| 1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
| Find all providers in zip 12204 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1497850671 | St. Catherine's Center for Children | Voluntary or Charitable | 30 N Main Ave, Albany, NY 12203-1410 | 2006-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.