Active NPI
Montgomery County Public Health Dept.
- Local Education Agency (LEA)
- Fonda, NY
National Provider Identifier
1457577868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- MONTGOMERY COUNTY PUBLIC HEALTH DEPT.
- Practice address
- 20 Park St
Fonda, NY 12068-4830 - Phone
- (518) 853-3531
- Fax
- (518) 853-8218
- NPI assigned
- Apr 17, 2007
- Organization subpart
- Yes
- Parent organization
- MONTGOMERY COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kim D Conboy, RN, MS
- Title
- Public Health Director
- Phone
- (518) 853-3531
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| State or Local Public Health Clinic/Center | 261QP0905X |
Addresses
Primary practice location
20 Park St
Fonda, NY 12068-4830
Mailing address
20 Park St
Fonda, NY 12068-4830
Phone (518) 853-3531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473556 | Medicaid | NY |
National Provider Directory
National Provider Directory- Part of
- Montgomery County
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Public Health or Welfare Agency
- Fonda, NY
- NPI 1598940264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428364800000",
"number": "1457577868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PARK ST",
"city": "FONDA",
"state": "NY",
"postal_code": "120684830",
"telephone_number": "518-853-3531",
"fax_number": "518-853-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PARK ST",
"city": "FONDA",
"state": "NY",
"postal_code": "120684830",
"telephone_number": "518-853-3531",
"fax_number": "518-853-8218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY COUNTY PUBLIC HEALTH DEPT.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MONTGOMERY COUNTY",
"enumeration_date": "2007-04-17",
"last_updated": "2015-04-07",
"status": "A",
"authorized_official_last_name": "CONBOY",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
"authorized_official_telephone_number": "518-853-3531",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, MS"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473556",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fonda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.