Active NPI
Montgomery County
- Public Health or Welfare Agency
- Fonda, NY
National Provider Identifier
1598940264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- MONTGOMERY COUNTY
- Practice address
- 20 Park St
Fonda, NY 12068-4830 - Phone
- (518) 853-3531
- Fax
- (518) 853-8218
- NPI assigned
- Dec 31, 2007
- Last updated
- Sep 6, 2016
- Organization subpart
- No
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary | |
| Public Health or Welfare Agency | 251K00000X | 2825200R | NY |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457577868 | Medicaid | NY |
Other names 1
- Montgomery County Public Health
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 4
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Ambulance
- Fultonville, NY
- NPI 1366122616
-
- Case Management Agency
- Fonda, NY
- NPI 1275759680
-
- Local Education Agency (LEA)
- Fonda, NY
- NPI 1457577868
-
- Public Health or Welfare Agency
- Fonda, NY
- NPI 1487906392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473120000000",
"number": "1598940264",
"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",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-31",
"last_updated": "2016-09-06",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NY",
"license": "2825200R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457577868",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Montgomery County Public Health",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.