Provider Demographics
NPI:1073650453
Name:SARATOGA COUNTY DEPARTMENT OF HEALTH
Entity Type:Organization
Organization Name:SARATOGA COUNTY DEPARTMENT OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHLES
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MP H
Authorized Official - Phone:518-584-7460
Mailing Address - Street 1:6012 COUNTY FARM RD
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-2251
Mailing Address - Country:US
Mailing Address - Phone:518-584-7460
Mailing Address - Fax:518-583-1202
Practice Address - Street 1:6012 COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-2251
Practice Address - Country:US
Practice Address - Phone:518-584-7460
Practice Address - Fax:518-583-1202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SARATOGA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-01
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01430877Medicaid