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MONTGOMERY COUNTY PUBLIC HEALTH DEPT. NPI 1457577868


NPI Information

NPI: 1457577868
Provider Name: MONTGOMERY COUNTY PUBLIC HEALTH DEPT.
Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization

CLIA Number: 33D2009663

Address:
20 PARK ST
FONDA, NY
ZIP 12068
Phone: (518) 853-3531
Get Directions

MONTGOMERY COUNTY PUBLIC HEALTH DEPT. is a local education agency lea in Fonda, NY. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. MONTGOMERY COUNTY PUBLIC HEALTH DEPT. NPI is 1457577868. The provider is registered as an organization entity type.

The provider's business location address is:

20 PARK ST
FONDA, NY
ZIP 12068-830
Phone: (518) 853-3531
Fax: (518) 853-8218

The provider's authorized official is Kim D Conboy .
The authorized official title is Public Health Director and has the following contact phone number (518) 853-3531.

The CLIA number assigned to this NPI record is 33D2009663 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 4/7/2015.


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
1252Y00000XEarly Intervention Provider AgencyNo
2261QP0905XClinic/CenterPublic Health, State or LocalNo
3251300000XLocal Education Agency (LEA)Yes

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
100473556MEDICAIDNEW 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.