NPIMap

Organization Active NPI

Cayuga County

  • Community Health Clinic/Center
  • Auburn, NY
National Provider Identifier
1043377484
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
0501201R Issued in NY
Legal business name
CAYUGA COUNTY
Practice address
8 Dill St
Auburn, NY 13021-3606
Phone
(315) 253-1560
Fax
(315) 253-1156
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kathleen Cuddy
Title
Director of Health
Phone
(315) 253-1447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 0501201R NY Primary

Addresses

Primary practice location

8 Dill St
Auburn, NY 13021-3606

Mailing address

8 Dill St
Auburn, NY 13021-3606
Phone (315) 253-1560

Other identifiers 2

IdentifierTypeStateIssuer
BA0959OtherMEDICARE PART B
00356152MedicaidNY

Other names 1

  • Cayuga County Health Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061206000174 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6204747157 1 other NPI on this enrollment
Practice locations: Auburn, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cayuga County Health and Human Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 Genesee St
Auburn, NY 13021
Phone (315) 253-1301

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1043377484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DILL ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213606",
            "telephone_number": "315-253-1560",
            "fax_number": "315-253-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DILL ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213606",
            "telephone_number": "315-253-1560",
            "fax_number": "315-253-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYUGA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "CUDDY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH",
        "authorized_official_telephone_number": "315-253-1447",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "0501201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "BA0959",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cayuga County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.