NPIMap

Organization Active NPI

Greene County Public Health

  • Case Management Agency
  • Catskill, NY
National Provider Identifier
1114056777
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GREENE COUNTY PUBLIC HEALTH
Practice address
411 Main Street
3Rd Floor, Suite 300
Catskill, NY 12414-1358
Phone
(518) 719-3617
Fax
(518) 719-3779
NPI assigned
Mar 2, 2007
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENE COUNTY PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Lauren Clark, REGISTERED NURSE
Title
Early Intervention Official
Phone
(518) 719-3617

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X 1952200R NY
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

411 Main Street
3Rd Floor, Suite 300
Catskill, NY 12414-1358

Mailing address

411 Main Street
3Rd Floor, Suite 300
Catskill, NY 12414-1358
Phone (518) 719-3617

Other identifiers 2

IdentifierTypeStateIssuer
00473125MedicaidNY
00473230MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
County of Greene9 organizations share this tax ID, including this one
Part of
County of Greene

Other organizations with this tax ID 8

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1114056777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN STREET",
            "address_2": "3RD FLOOR, SUITE 300",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141358",
            "telephone_number": "518-719-3617",
            "fax_number": "518-719-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN STREET",
            "address_2": "3RD FLOOR, SUITE 300",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141358",
            "telephone_number": "518-719-3617",
            "fax_number": "518-719-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE COUNTY PUBLIC HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENE COUNTY PUBLIC HEALTH",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-02-28",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "EARLY INTERVENTION OFFICIAL",
        "authorized_official_telephone_number": "518-719-3617",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "1952200R",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473125",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.