NPIMap

Organization Active NPI

County of Otsego

  • Public Health or Welfare Agency
  • Cooperstown, NY
National Provider Identifier
1710026273
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
1392L001 Issued in NY
Legal business name
COUNTY OF OTSEGO
Practice address
140 County Highway 33W
Suite 3
Cooperstown, NY 13326-4953
Phone
(607) 547-4230
Fax
(607) 547-4385
NPI assigned
Feb 5, 2007
Last updated
Jun 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Heidi Bond
Title
Public Health Director
Phone
(607) 547-4230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 1392L001 NY Primary

Addresses

Primary practice location

140 County Highway 33W
Suite 3
Cooperstown, NY 13326-4953

Mailing address

140 County Highway 33W Ste 3
Cooperstown, NY 13326-4955
Phone (607) 547-4230

Other identifiers 2

IdentifierTypeStateIssuer
02689958MedicaidNY
600001251OtherNYRR TRAVELERS MEDICARE B

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000388 NY Part B Supplier - Mass Immunization (Roster Biller Only) 9032195573 Practice locations: Cooperstown, NY

Other NPIs with the same Medicare PAC ID 3

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

  • County of Otsego

    dba Otsego County Chemical Dependencies Clinic

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Oneonta, NY
    • NPI 1104925031

    9032195573

    Same PAC ID
  • County of Otsego
    • Land Ambulance
    • Cooperstown, NY
    • NPI 1801555214

    9032195573

    Same PAC ID
  • County of Otsego

    dba Otsego County Mental Health Clinic

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Oneonta, NY
    • NPI 1831145101

    9032195573

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Meadows County of Otseg11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

197 Main St
Cooperstown, NY 13326

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1710026273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COUNTY HIGHWAY 33W STE 3",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264955",
            "telephone_number": "607-547-4230",
            "fax_number": "607-547-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COUNTY HIGHWAY 33W",
            "address_2": "SUITE 3",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133264953",
            "telephone_number": "607-547-4230",
            "fax_number": "607-547-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF OTSEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "607-547-4230"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "1392L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02689958",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR TRAVELERS MEDICARE B",
            "identifier": "600001251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooperstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.