NPIMap

Organization Active NPI

County of Steuben

Doing business as Steuben County Public Health

  • State or Local Public Health Clinic/Center
  • Bath, NY
National Provider Identifier
1053469346
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
5022200 Issued in NY
Legal business name
COUNTY OF STEUBEN
Doing business as
Steuben County Public Health
Practice address
3 Pulteney SQ E
Bath, NY 14810-1510
Phone
(607) 664-2438
Fax
(607) 664-2166
NPI assigned
Jan 5, 2007
Last updated
Jun 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF STEUBENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Terri R Drake
Title
Accountant
Phone
(607) 664-2438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 5022200 NY Primary

Addresses

Primary practice location

3 Pulteney SQ E
Bath, NY 14810-1510

Mailing address

3 Pulteney SQ E
Bath, NY 14810-1510
Phone (607) 664-2438

Other identifiers 1

IdentifierTypeStateIssuer
00355404MedicaidNY

Other names 1

  • Steuben County Public Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719001474 NY Part B Supplier - Clinic/Group Practice 3375522642 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bath, NY; Corning, NY; Hornell, NY

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
Part of
Sampath K Neerukonda

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1053469346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PULTENEY SQ E",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101510",
            "telephone_number": "607-664-2438",
            "fax_number": "607-664-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PULTENEY SQ E",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101510",
            "telephone_number": "607-664-2438",
            "fax_number": "607-664-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF STEUBEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF STEUBEN",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "607-664-2438"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NY",
            "license": "5022200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steuben County Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steuben County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.