NPIMap

Organization Active NPI

Lewis County

Doing business as L.C. Public Health-D&TC

  • Public Health or Welfare Agency
  • Lowville, NY
National Provider Identifier
1649468349
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LEWIS COUNTY
Doing business as
L.C. Public Health-D&TC
Practice address
7785 N State St
Suite 2
Lowville, NY 13367-1229
Phone
(315) 376-5453
Fax
(315) 376-7013
NPI assigned
Oct 9, 2007
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Ashley Waite, RN, BSN, MPH
Title
Director of Public Health
Phone
(315) 376-5453

Specialties & licenses 1

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

Addresses

Primary practice location

7785 N State St
Suite 2
Lowville, NY 13367-1229

Mailing address

7785 N State St
Suite 2
Lowville, NY 13367-1229
Phone (315) 376-5453

Other identifiers 1

IdentifierTypeStateIssuer
03936936MedicaidNY

Other names 1

  • L.C. Public Health-D&TC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140203001587 NY Part B Supplier - Mass Immunization (Roster Biller Only) 2668463779 Practice locations: Lowville, NY

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Lewis County Gen Hosp19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
LCGH Certified Home Health AgencyLowville, NY, CCN 337136 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Lewis County General HospitalLowville, NY, CCN 331540 Hospice Operational/Managerial Control (100%) Jan 1, 2013
Lewis County General HospitalCopenhagen, NY, CCN 333417 Rural health clinic Operational/Managerial Control Jan 1, 2021
Lewis County General HospitalLyons Falls, NY, CCN 333418 Rural health clinic Operational/Managerial Control May 1, 2021
Lewis County General HospitalBeaver Falls, NY, CCN 333985 Rural health clinic Operational/Managerial Control Jan 1, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1649468349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "address_2": "SUITE 2",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5453",
            "fax_number": "315-376-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "address_2": "SUITE 2",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5453",
            "fax_number": "315-376-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "315-376-5453",
        "authorized_official_credential": "RN, BSN, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03936936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.C. Public Health-D&TC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "L.C. Public Health-D&TC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.