| North Country Children's Clinic, Inc. | |
|
13180 Us Route 11 Adams Center NY 13606-2276 | |
| (315) 583-5200 | |
| (315) 583-5255 |
| Full Name | North Country Children's Clinic, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13180 Us Route 11, Adams Center, New York |
| Authorized Official Name and Position | Aileen Martin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3157829450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Children's Clinic, Inc. 238 Arsenal St Watertown NY 13601-2504 Ph: (315) 782-9450 | North Country Children's Clinic, Inc. 13180 Us Route 11 Adams Center NY 13606-2276 Ph: (315) 583-5200 |
| NPI Number | 1659651321 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659651321 | NPI | - | NPPES |
| 00583702 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 080061-1 (New York) | Primary |