Chenango County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CHENANGO COUNTY

Practice address

5 Court St
Norwich, NY 13815-1695

Phone

(607) 337-1660

NPI assigned

Dec 29, 2006

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Depperman

Title

Admin. Services Officer

Phone

(607) 337-1658

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PH Prevent Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• County of Chenango

  dba Chenango County Area Agency on Aging

  • Public Health or Welfare Agency
  • Norwich, NY
  • NPI 1356460307

  O20120830000509

  Same enrollment

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1770649147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COURT ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COURT ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHENANGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "DEPPERMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMIN. SERVICES OFFICER",
        "authorized_official_telephone_number": "607-337-1658"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474635",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03003936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PH Prevent",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chenango Audiology Services PC
• Chenango County
• Chenango County
• Chenango County
• Chenango County
• Chenango County Catholic Charities (Catholic Charities of Chenango County)
• Chenango County Community Services Board
• Chenango County County Treasurer
• Chenango Diagnostic Imaging,PLLC
• Chenango Eye Associates Physicians & Surgeons PC

• Public Health or Welfare Agency in Norwich, NY
• Providers in Norwich, NY by specialty
• Public Health or Welfare Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.