institution
Associated Community Action Of The North East Adirondack Region, Inc.
Federally Qualified Health Center (FQHC) in Willsboro, New York
NPI 1902960610

Associated Community Action Of The North East Adirondack Region, Inc. is a Federally Qualified Health Center (FQHC) based in Willsboro, NY and is specialized in Federally Qualified Health Center (FQHC). Associated Community Action Of The North East Adirondack Region, Inc. practices in Willsboro, NY. The NPI Number for Associated Community Action Of The North East Adirondack Region, Inc. is 1902960610 and holds a License No. 1566200R (New York).

The current practice location address for Associated Community Action Of The North East Adirondack Region, Inc. is 39 Farrell Rd, Willsboro, NY and can be reached out via phone at 518-963-4275.

Location: 39 Farrell Rd, Willsboro, NY, 12996-3904
institution
Provider Profile Details
NPI Number
1902960610
Provider Name
Associated Community Action Of The North East Adirondack Region, Inc.
Credential
Provider Entity Type
Organization
Address
39 Farrell Rd, Willsboro, NY, 12996-3904
Phone Number
518-963-4275
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00473478 05 NY
FQHCLA218 01 NY 340B ID
institution
Provider Business Practice Location Address Details
Address
39 Farrell Rd
City
State
Zip
12996-3904
Phone Number
518-963-4275
Fax Number
person
Provider Business Mailing Address Details
Address
39 Farrell Rd
City
State
Zip
12996-3904
Phone Number
518-963-4275
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
1566200R (New York)
Definition
Definition to come...
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