ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC. (NPI# 1902960610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902960610 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC. |
| Other Organization Name | SMITH HOUSE HEALTH CARE CENTER |
| Practice Address |
39 Farrell Rd Willsboro NY 12996-3904 |
| Practice Telephone | 5189634275 |
| Mailing Telephone | 5189634275 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-08-18 |
| Authorized Official Name | MS. ROBIN A. PIERCE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5189634275 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
1566200R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00473478 | 05 | |
| NY | 340B ID | FQHCLA218 | 01 |
| Other Name | Type Code |
|---|---|
| Smith House Health Care Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275766032 | Associated Community Action of The North East Adirondack Region, Inc. | Physical Therapist | 2885 Essex Rd, Essex, NY 12936-2317 | 2009-08-27 |
| 1932331667 | Associated Community Action of The North East Adirondack Region, Inc. | Allergy & Immunology | 159 Margaret St, Plattsburgh, NY 12901-1874 | 2009-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ASSOCIATED COMMUNITY ACTION OF THE NORTH EAST ADIRONDACK REGION, INC. | 39 Farrell Road, Willsboro, Ny 12996 |
| Street Address |
39 FARRELL RD |
| City | WILLSBORO |
| State | NY |
| Zip Code | 12996-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659635944 | Carly Sleeper | Physician Assistant | 39 Farrell Rd, Willsboro, NY 12996-3904 | 2012-07-02 |
| 1245415843 | Brian Callahan | Physician Assistant | 39 Farrell Rd, Willsboro, NY 12996-3904 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523554 | Corey Wheet | Acupuncturist | 17 Cedar Lane, Willsboro, NY 12996 | 2020-09-21 |
| 1568827152 | Karen Crowningshield | Registered Nurse | 29 School Ln, Willsboro, NY 12996 | 2015-12-23 |
| 1457668758 | Willsboro Dental, PC | Dentist | 3673 Essex Road, Willsboro, NY 12996 | 2010-09-08 |
| 1902944044 | Lee T Ackley | Physician Assistant | 39 Farrell Road, Willsboro, NY 12996 | 2007-02-01 |
| 1659438695 | Willsboro Central School | Local Education Agency (LEA) | 29 School Lane, Willsboro, NY 12996 | 2007-01-02 |
| 1083721260 | Kinney Drugs Inc | Pharmacy | 62 Station Rd, Willsboro, NY 12996 | 2006-08-24 |
| 1720015100 | David George Bonfante | Dentist | 3673 Essex Rd, Suite 2, Willsboro, NY 12996 | 2006-06-28 |
| 1518565605 | Gratitude for Wellness Acupuncture | Acupuncturist | 17 Cedar Lane, Willsboro, NY 12996 | 2020-10-12 |
| 1033247796 | Jennifer Jane Olcott | Pharmacist | 62 Station Rd, Willsboro, NY 12996 | 2007-03-02 |
| 1083083687 | Kathleen Nasner | Registered Nurse | 29 School Lane, Willsboro, NY 12996-0180 | 2015-09-24 |
| Find all providers in zip 12996 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.