NPIMap

Organization Active NPI

Saratoga County

Doing business as Saratoga County Department of Health

  • State or Local Public Health Clinic/Center
  • Ballston Spa, NY
National Provider Identifier
1679691745
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
4501200R Issued in NY
Legal business name
SARATOGA COUNTY
Doing business as
Saratoga County Department of Health
Practice address
6012 County Farm Rd
Ballston Spa, NY 12020-2251
Phone
(518) 584-7460
Fax
(518) 583-1202
NPI assigned
Mar 27, 2007
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Dr. Daniel Kuhles, M.D., M.P.H.
Title
Commissioner
Phone
(518) 584-7460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 4501200R NY Primary

Addresses

Primary practice location

6012 County Farm Rd
Ballston Spa, NY 12020-2251

Mailing address

6012 County Farm Road
Ballston Spa, NY 12020-2251
Phone (518) 584-7460

Other identifiers 1

IdentifierTypeStateIssuer
00473689MedicaidNY

Other names 3

  • Saratoga County Department of Health Doing business as
  • Saratoga County Public Health Services Former legal business name
  • Saratoga County of Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091119000424 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7810983012 Practice locations: Ballston Spa, NY

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

31 Woodlawn Ave
Saratoga Springs, NY 12866
Phone (518) 584-7460

Practitioners & affiliated clinicians

Practitioners 3

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1679691745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 COUNTY FARM ROAD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202251",
            "telephone_number": "518-584-7460",
            "fax_number": "518-583-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 COUNTY FARM RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120202251",
            "telephone_number": "518-584-7460",
            "fax_number": "518-583-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "KUHLES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "518-584-7460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NY",
            "license": "4501200R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473689",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga County Department of Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saratoga County Department of Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saratoga County Public Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Saratoga County of",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ballston Spa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.