NPIMap

Organization Active NPI

St Lawrence County

Doing business as St Lawrence County Public Health Department - EI

  • Early Intervention Provider Agency
  • Canton, NY
National Provider Identifier
1376662320
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
4423600 Issued in NY
Legal business name
ST LAWRENCE COUNTY
Doing business as
St Lawrence County Public Health Department - EI
Practice address
80 State Highway 310, Suite 2
Canton, NY 13617-1476
Phone
(315) 386-2325
Fax
(315) 386-2203
NPI assigned
Mar 29, 2007
Last updated
Oct 1, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. LAWRENCE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Debra Bridges, MBA
Title
Fiscal Manager
Phone
(315) 229-3405

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 4423600 NY
Early Intervention Provider Agency 252Y00000X 4423600 NY Primary
Local Education Agency (LEA) 251300000X NU
Local Education Agency (LEA) 251300000X 4423600 NY

Addresses

Primary practice location

80 State Highway 310, Suite 2
Canton, NY 13617-1476

Mailing address

80 State Highway 310, Suite 2
Canton, NY 13617-1476
Phone (315) 386-2325

Other identifiers 1

IdentifierTypeStateIssuer
00583679MedicaidNY

Other names 1

  • St Lawrence County Public Health Department - EI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Lawrence County Public Health5 organizations share this tax ID, including this one
Part of
St Lawrence County Public Health

Other organizations with this tax ID 4

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1376662320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 STATE HIGHWAY 310, SUITE 2",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171476",
            "telephone_number": "315-386-2325",
            "fax_number": "315-386-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 STATE HIGHWAY 310, SUITE 2",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171476",
            "telephone_number": "315-386-2325",
            "fax_number": "315-386-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LAWRENCE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LAWRENCE COUNTY",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "315-229-3405",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "4423600",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "4423600",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "4423600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00583679",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lawrence County Public Health Department - EI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.