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COUNTY OF SUFFOLK NPI 1366546574


NPI Information

NPI: 1366546574
Provider Name: COUNTY OF SUFFOLK

Doing Business As: RIVERHEAD HEALTH CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 33D2289844

Address:
300 CENTER DR
COUNTY CENTER
RIVERHEAD, NY
ZIP 11901
Phone: (631) 852-1800
Get Directions

COUNTY OF SUFFOLK is a clinic center in Riverhead, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COUNTY OF SUFFOLK NPI is 1366546574. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverhead Health Center.

The provider's business location address is:

300 CENTER DR
COUNTY CENTER
RIVERHEAD, NY
ZIP 11901-393
Phone: (631) 852-1800
Fax: (631) 852-1807

The provider's authorized official is James L Tomarken .
The authorized official title is Commissioner and has the following contact phone number (631) 854-0100.

The CLIA number assigned to this NPI record is 33D2289844 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 10/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103003610MEDICAIDNEW YORK
2W03161MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.