OTSEGO COUNTY COMMUNITY SERVICES NPI 1467555243

NPI Information

NPI: 1467555243
Provider Name: OTSEGO COUNTY COMMUNITY SERVICES
Classification: Clinic/Center - 261QR0405X
Specialization: Rehabilitation, Substance Use Disorder
Entity Type: Organization
Doing Business As: OTSEGO COUNTY CHEMICAL DEPENDENCIES CLINIC
Address: 140 COUNTY HIGHWAY 33W
SUITE 1
COOPERSTOWN, NY
ZIP 13326
Phone: (607) 547-1600

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NPI Details

OTSEGO COUNTY COMMUNITY SERVICES is a rehabilitation and substance use disorder clinic center in Cooperstown, NY. OTSEGO COUNTY COMMUNITY SERVICES NPI is 1467555243. The provider is registered as an organization entity type.
The provider Is Doing Business As Otsego County Chemical Dependencies Clinic.

The provider's business location address is:

140 COUNTY HIGHWAY 33W
SUITE 1
COOPERSTOWN, NY
ZIP 13326-953
Phone: (607) 547-1600
Fax: (607) 547-1607

The provider's authorized official is Susan A Matt .
The authorized official title is Director Of Community Services and has the following contact phone number (607) 433-2343.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 5/6/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	061110917	NEW YORK	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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00583582	MEDICAID	NEW 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: 11/21/2025

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