Organization Active NPI

Madison County Rural Health Council, Inc.

  • Public Health or Welfare Agency
  • Cazenovia, NY
National Provider Identifier
1144792052
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MADISON COUNTY RURAL HEALTH COUNCIL, INC.
Practice address
2662 US Route 20 Ste 1
Cazenovia, NY 13035-9565
Phone
(607) 316-2175
NPI assigned
Dec 18, 2018
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Stephanie HenryNPI 1245794551
Title
Deputy Director
Phone
(315) 313-4399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2662 US Route 20 Ste 1
Cazenovia, NY 13035-9565

Mailing address

PO Box 430
Cazenovia, NY 13035-0430
Phone (315) 313-4399

Other practice location 1

2119 W Genesee Street Rd
Auburn, NY 13021-9458
Phone (315) 252-4212

Other practice location 2

10 Kennedy Pkwy
Cortland, NY 13045-1410
Phone (607) 756-4198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190327000998 NY MDPP Supplier - in-Person MDPP Supplier 3072853100 Practice locations: Auburn, NY; Cazenovia, NY; Cortland, NY

National Provider Directory

National Provider Directory

Locations

2662 US Route 20
Ste 1
Cazenovia, NY 13035
Phone (315) 313-4399

10 Kennedy Pkwy
Cortland, NY 13045
Phone (607) 756-4198

Practitioners & affiliated clinicians

Practitioners 11

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": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1144792052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130350430",
            "telephone_number": "315-313-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 US ROUTE 20 STE 1",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359565",
            "telephone_number": "607-316-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2119 W Genesee Street Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130219458",
            "country_code": "US",
            "telephone_number": "315-252-4212",
            "fax_number": "315-252-3678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Kennedy Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451410",
            "country_code": "US",
            "telephone_number": "607-756-4198",
            "fax_number": "607-344-0048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MADISON COUNTY RURAL HEALTH COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2023-01-04",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "315-313-4399"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cazenovia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.