Nysarc Inc Columbia County Chapter

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

NYSARC INC COLUMBIA COUNTY CHAPTER

Practice address

2661 Ravish Rd
Hudson, NY 12534-1026

Phone

(518) 672-4451

Fax

(518) 672-0187

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth R Stall

Title

Executive Director

Phone

(518) 672-4451

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COARC Other name

Tax ID family

Coarc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Nysarc Inc Columbia County Chapter

  • Voluntary or Charitable Agency
  • Valatie, NY
  • NPI 1033256615
  NPD tax ID
• Nysarc Inc. Columbia County Chapter

  • Voluntary or Charitable Agency
  • Hudson, NY
  • NPI 1548563950
  NPD tax ID

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235286394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "MELLENVILLE",
            "state": "NY",
            "postal_code": "125440002",
            "telephone_number": "518-672-4451",
            "fax_number": "518-672-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 RAVISH RD",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341026",
            "telephone_number": "518-672-4451",
            "fax_number": "518-672-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC INC COLUMBIA COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STALL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-672-4451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01012995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COARC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nysarc Inc. Columbia County Chapter
• Marilynn O'Dell
• Helen Adams O'Keefe, MA, ADTR
• Benjamin Oke, MD
• Gregory Pace

• Voluntary or Charitable Agency in Hudson, NY
• Providers in Hudson, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.