JEFFERSON COUNTY PUBLIC HEALTH SERVICE NPI 1598822587

NPI Information

NPI: 1598822587
Provider Name: JEFFERSON COUNTY PUBLIC HEALTH SERVICE
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 33D0654659

Address:
531 MEADE ST
WATERTOWN, NY
ZIP 13601
Phone: (315) 786-3710
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JEFFERSON COUNTY PUBLIC HEALTH SERVICE is a public health or welfare in Watertown, NY. JEFFERSON COUNTY PUBLIC HEALTH SERVICE NPI is 1598822587. The provider is registered as an organization entity type.

The provider's business location address is:

531 MEADE ST
WATERTOWN, NY
ZIP 13601-225
Phone: (315) 786-3710
Fax: (315) 786-3761

The provider's authorized official is Dorena Louise Kimball .
The authorized official title is Accountant and has the following contact phone number (135) 786-3742.

The CLIA number assigned to this NPI record is 33D0654659 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.

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	251K00000X	Public Health or Welfare		2201600	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	00583711	MEDICAID	NEW YORK
2	2201600	OTHER	NEW YORK	CHHA PROVIDER NUMBER

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

NPI Synchronization or Removal

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