Active NPI
Columbia County
- Skilled Nursing Facility
- Philmont, NY
National Provider Identifier
1376647602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1021300N
- Legal business name
- COLUMBIA COUNTY
- Practice address
- 201 Main Street Rte 217
Philmont, NY 12565-0785 - Phone
- (518) 672-7408
- Fax
- (518) 672-4721
- NPI assigned
- Sep 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Robinson
- Title
- Controller
- Phone
- (518) 672-7408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1021300N | NY | Primary |
Addresses
Primary practice location
201 Main Street Rte 217
Philmont, NY 12565-0785
Mailing address
PO Box 785
Philmont, NY 12565-0785
Phone (518) 672-7408
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 714144F | Other | NY | MVP PROVIDER NUMBER |
| 00473345 | Medicaid | NY | |
| 10031340 | Other | NY | CDPHP PROVIDER NUMBER |
| 00400261003 | Other | NY | BLUE SHIELD PROVIDER NUMB |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741910400000",
"number": "1376647602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 785",
"city": "PHILMONT",
"state": "NY",
"postal_code": "125650785",
"telephone_number": "518-672-7408",
"fax_number": "518-672-4721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MAIN STREET RTE 217",
"city": "PHILMONT",
"state": "NY",
"postal_code": "125650785",
"telephone_number": "518-672-7408",
"fax_number": "518-672-4721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIA COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "518-672-7408"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "1021300N",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER NUMBER",
"identifier": "714144F",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473345",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP PROVIDER NUMBER",
"identifier": "10031340",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUMB",
"identifier": "00400261003",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.