NPIMap

Organization Active NPI

St Regis Mohawk Tribe

Doing business as Partridge House

  • Substance Abuse Rehabilitation Facility
  • Akwesasne, NY
National Provider Identifier
1659521052
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
111211393 Issued in NY
Legal business name
ST REGIS MOHAWK TRIBE
Doing business as
Partridge House
Practice address
412 State Route 37
Akwesasne, NY 13655-3109
Phone
(518) 358-3141
Fax
(518) 358-2797
NPI assigned
Sep 23, 2008
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Deborah Terrance
Title
Health Director
Phone
(518) 358-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 111211393 NY Primary

Addresses

Primary practice location

412 State Route 37
Akwesasne, NY 13655-3109

Mailing address

412 State Route 37
Akwesasne, NY 13655-3109
Phone (518) 358-3141

Other identifiers 2

IdentifierTypeStateIssuer
111211393OtherNYOPERATING CERTIFICATE
01178234MedicaidNY

Other names 1

  • PARTRIDGE HOUSE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Regis Mohawk Tribe3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

412 State Route 37
Hogansburg, NY 13655
Phone (518) 358-3141

Practitioners & affiliated clinicians

Practitioners 2

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1659521052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 STATE ROUTE 37",
            "city": "AKWESASNE",
            "state": "NY",
            "postal_code": "136553109",
            "telephone_number": "518-358-3141",
            "fax_number": "518-358-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 STATE ROUTE 37",
            "city": "AKWESASNE",
            "state": "NY",
            "postal_code": "136553109",
            "telephone_number": "518-358-3141",
            "fax_number": "518-358-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST REGIS MOHAWK TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "TERRANCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "518-358-3141"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "111211393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE",
            "identifier": "111211393",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01178234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARTRIDGE HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akwesasne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.