NPIMap

Organization Active NPI

Herkimer County

  • Public Health or Welfare Agency
  • Herkimer, NY
National Provider Identifier
1790129682
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
2124200R Issued in NY
Legal business name
HERKIMER COUNTY
Practice address
301 N Washington St
Herkimer, NY 13350-1216
Phone
(315) 867-1176
NPI assigned
Apr 22, 2013
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Christina Cain, RN, BSN, MA, MS
Title
Acting Director
Phone
(315) 867-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 2124200R NY Primary

Addresses

Primary practice location

301 N Washington St
Herkimer, NY 13350-1216

Mailing address

301 N Washington St
Herkimer, NY 13350-1216

Other identifiers 2

IdentifierTypeStateIssuer
00473712MedicaidNY
337051OtherNYMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150504000018 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4284613779 Practice locations: Herkimer, NY

Other NPIs with the same Medicare PAC ID 1

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

  • Herkimer County

    dba Herkimer County Mental Health Services

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Herkimer, NY
    • NPI 1720174436

    4284613779

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Early Intervention Program7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

301 N Washington St
Herkimer, NY 13350
Phone (315) 867-1176

301 N Washington St
Ste 2300
Herkimer, NY 13350
Phone (315) 867-1176

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1790129682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501216",
            "telephone_number": "315-867-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERKIMER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "315-867-1176",
        "authorized_official_credential": "RN, BSN, MA, MS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "2124200R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473712",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "337051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.