NPIMap

Organization Active NPI

Hamilton County

  • Early Intervention Provider Agency
  • Indian Lake, NY
National Provider Identifier
1528197894
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
HAMILTON COUNTY
Practice address
139 White Birch Lane
Indian Lake, NY 12842-0250
Phone
(518) 648-6497
Fax
(518) 648-6143
NPI assigned
Mar 5, 2007
Last updated
Jun 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Ms. Beth B Ryan, MS, RNNPI 1376857888
Title
Director of Public Health
Phone
(518) 648-6141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

139 White Birch Lane
Indian Lake, NY 12842-0250

Mailing address

PO Box 250
White Birch Lane
Indian Lake, NY 12842-0250
Phone (518) 648-6497

Other identifiers 1

IdentifierTypeStateIssuer
02960992MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1528197894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "address_2": "WHITE BIRCH LANE",
            "city": "INDIAN LAKE",
            "state": "NY",
            "postal_code": "128420250",
            "telephone_number": "518-648-6497",
            "fax_number": "518-648-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WHITE BIRCH LANE",
            "city": "INDIAN LAKE",
            "state": "NY",
            "postal_code": "128420250",
            "telephone_number": "518-648-6497",
            "fax_number": "518-648-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "518-648-6141",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02960992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.