NPIMap

Organization Active NPI

Yates County Public Health

  • Local Education Agency (LEA)
  • Penn Yan, NY
National Provider Identifier
1477639599
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
YATES COUNTY PUBLIC HEALTH
Practice address
417 Liberty St
Ste. 2120
Penn Yan, NY 14527-1100
Phone
(315) 536-5160
Fax
(315) 536-5145
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Mrs. Deborah A Minor, RN
Title
Public Health Director
Phone
(315) 536-5160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NY Primary

Addresses

Primary practice location

417 Liberty St
Ste. 2120
Penn Yan, NY 14527-1100

Mailing address

417 Liberty St
Ste. 2120
Penn Yan, NY 14527-1100
Phone (315) 536-5160

Other identifiers 1

IdentifierTypeStateIssuer
01431052MedicaidNY

Other names 1

  • Yates County Public Health PSSHSP Other name

National Provider Directory

National Provider Directory
Tax ID family
Yates County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

417 Liberty St
Ste 2120
Penn Yan, NY 14527
Phone (315) 536-5160

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1477639599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "address_2": "STE. 2120",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271100",
            "telephone_number": "315-536-5160",
            "fax_number": "315-536-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "address_2": "STE. 2120",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271100",
            "telephone_number": "315-536-5160",
            "fax_number": "315-536-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YATES COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "315-536-5160",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01431052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yates County Public Health PSSHSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Penn Yan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.