NPIMap

Organization Active NPI

Madison County Department of Health

  • Early Intervention Provider Agency
  • Wampsville, NY
National Provider Identifier
1104941517
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MADISON COUNTY DEPARTMENT OF HEALTH
Practice address
138 North Court St
BLDG #5
Wampsville, NY 13163-0605
Phone
(315) 366-2501
Fax
(315) 366-2566
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Mr. Eric Faisst
Title
Public Health Director
Phone
(315) 366-2501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

138 North Court St
BLDG #5
Wampsville, NY 13163-0605

Mailing address

PO Box 605
Wampsville, NY 13163-0605
Phone (315) 366-2501

Other identifiers 1

IdentifierTypeStateIssuer
00474153MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Madison County10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1104941517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131630605",
            "telephone_number": "315-366-2501",
            "fax_number": "315-366-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NORTH COURT ST",
            "address_2": "BLDG #5",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131630605",
            "telephone_number": "315-366-2501",
            "fax_number": "315-366-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "FAISST",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "315-366-2501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wampsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.