Organization Active NPI

Columbia County

  • Skilled Nursing Facility
  • Philmont, NY
National Provider Identifier
1376647602
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1021300N Issued in NY
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

Updated by the provider on Mar 14, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
714144FOtherNYMVP PROVIDER NUMBER
00473345MedicaidNY
10031340OtherNYCDPHP PROVIDER NUMBER
00400261003OtherNYBLUE SHIELD PROVIDER NUMB

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.