Organization Active NPI

Madison County Department of Health

  • Home Health Agency
  • Wampsville, NY
National Provider Identifier
1295877686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MADISON COUNTY DEPARTMENT OF HEALTH
Practice address
North Court Street
Building 5
Wampsville, NY 13163-0605
Phone
(315) 366-2501
Fax
(315) 366-2207
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

North Court Street
Building 5
Wampsville, NY 13163-0605

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00941433MedicaidNY

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295877686",
    "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": "315-366-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH COURT STREET",
            "address_2": "BUILDING 5",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "131630605",
            "telephone_number": "315-366-2501",
            "fax_number": "315-366-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00941433",
            "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 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.