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MADISON COUNTY NPI 1689780546


NPI Information

NPI: 1689780546
Provider Name: MADISON COUNTY

Other Name: MADISON COUNTY MENTAL HEALTH DEPARTMENT OUTPATIENT CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
138 NORTH COURT STREET
WAMPSVILLE, NY
ZIP 13163
Phone: (315) 366-2327
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MADISON COUNTY is a mental health (including community mental health center) clinic center in Wampsville, NY. MADISON COUNTY NPI is 1689780546. The provider is registered as an organization entity type.
The provider Other Name Is Madison County Mental Health Department Outpatient Clinic.

The provider's business location address is:

138 NORTH COURT STREET
WAMPSVILLE, NY
ZIP 13163-608
Phone: (315) 366-2327
Fax: (315) 366-2599

The provider's authorized official is Teisha M Cook .
The authorized official title is Director and has the following contact phone number (315) 366-2327.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 12/6/2019.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)6873100ANEW YORKYes

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
100569860MEDICAIDNEW YORK
203004400MEDICAIDNEW 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: 11/14/2023

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