NPIMap

Organization Active NPI

Wyoming County County of Wyoming

  • Public Health or Welfare Agency
  • Silver Springs, NY
National Provider Identifier
1720115017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
6027200R Issued in NY
Legal business name
WYOMING COUNTY COUNTY OF WYOMING
Practice address
5362 Mungers Mill Rd
Silver Springs, NY 14550-9704
Phone
(585) 786-8890
Fax
(585) 786-3537
NPI assigned
Feb 27, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gregory Collins, DO, MPH
Title
Commissioner
Phone
(585) 786-8890

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 14

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0172399Wyoming County Department of Health5362 Mungers Mill Rd, Silver Springs, NY 14550Certificate of waiverMar 26, 2027

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040929001076 NY Part B Supplier - Clinic/Group Practice 9335118967 Receives reassigned benefits from 89 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arcade, NY; Attica, NY; Perry, NY; Silver Springs, NY; Warsaw, NY

National Provider Directory

National Provider Directory
Tax ID family
WCCH Medical Group (15 organizations share this tax ID)

Locations

5362 Mungers Mill Rd
Silver Springs, NY 14550
Phone (585) 228-1175

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 6027200R NY Primary

Addresses

NPPES NPI Registry

Primary practice location

5362 Mungers Mill Rd
Silver Springs, NY 14550-9704

Mailing address

5362 Mungers Mill Rd
Silver Springs, NY 14550-9704
Phone (585) 786-8890

Other names 1

NPPES NPI Registry
  • Public Health Department Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720115017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5362 MUNGERS MILL RD",
            "city": "SILVER SPRINGS",
            "state": "NY",
            "postal_code": "145509704",
            "telephone_number": "585-786-8890",
            "fax_number": "585-786-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5362 MUNGERS MILL RD",
            "city": "SILVER SPRINGS",
            "state": "NY",
            "postal_code": "145509704",
            "telephone_number": "585-786-8890",
            "fax_number": "585-786-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING COUNTY COUNTY OF WYOMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "585-786-8890",
        "authorized_official_credential": "DO, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "6027200R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silver Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.