| Organization Name: | ADIRONDACK MEDICAL CENTER |
| NPI Number: | 1356656045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN S STRATFORD (PFS SUPERVISOR) |
| Mailing Address: | 114 Wawbeek Ave Tupper Lake |
| State: | NY US |
| Postal Code: | 129862038 |
| Phone Number: | 5183594900 |
| Fax Number: | 5188915097 |
| NPI Enumeration Date: | 08/18/2010 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 1623001H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |