NPIMap

Organization Active NPI

Ontario County

Doing business as Ontario County Public Health

  • Public Health or Welfare Agency
  • Canandaigua, NY
National Provider Identifier
1154329761
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ONTARIO COUNTY
Doing business as
Ontario County Public Health
Practice address
3019 County Complex Dr
Canandaigua, NY 14424-9505
Phone
(585) 396-4354
Fax
(585) 396-4313
NPI assigned
Jul 8, 2005
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ONTARIO COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Mrs. Mary L. Beer, RN, MPH
Title
Public Health Director
Phone
(585) 396-4354

Specialties & licenses 1

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

Addresses

Primary practice location

3019 County Complex Dr
Canandaigua, NY 14424-9505

Mailing address

3019 County Complex Dr
Canandaigua, NY 14424-9505
Phone (585) 396-4354

Other names 1

  • Ontario 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
O20040719000682 NY Part B Supplier - Clinic/Group Practice 3779482252 Receives reassigned benefits from 21 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canandaigua, 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
Tax ID family
Ontario County Early Intervention9 organizations share this tax ID, including this one
Part of
Ontario County Early Intervention

Other organizations with this tax ID 8

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

Locations

83 Seneca St
Geneva, NY 14456
Phone (585) 396-4363

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1154329761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 COUNTY COMPLEX DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249505",
            "telephone_number": "585-396-4354",
            "fax_number": "585-396-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 COUNTY COMPLEX DR",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144249505",
            "telephone_number": "585-396-4354",
            "fax_number": "585-396-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONTARIO COUNTY",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "585-396-4354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.