NPIMap

Organization Active NPI

Montgomery County Public Health Dept.

  • Public Health or Welfare Agency
  • Fonda, NY
National Provider Identifier
1487906392
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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
Oct 3, 2012
Organization subpart
Yes
Parent organization
MONTGOMERY COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

20 Park St
Fonda, NY 12068-4830

Mailing address

20 Park St
PO Box 1500
Fonda, NY 12068-4830
Phone (518) 853-3531

Other identifiers 1

IdentifierTypeStateIssuer
00473556MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Montgomery County5 organizations share this tax ID, including this one
Part of
Montgomery County

Other organizations with this tax ID 4

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1487906392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK ST",
            "address_2": "PO BOX 1500",
            "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": "2012-10-03",
        "last_updated": "2012-10-03",
        "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": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 3, 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.