Provider Demographics
NPI:1578752192
Name:COLUMBIA COUNTY
Entity Type:Organization
Organization Name:COLUMBIA COUNTY
Other - Org Name:COLUMBIA COUNTY DEPARTMENT OF HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CHES
Authorized Official - Phone:518-828-3358
Mailing Address - Street 1:325 COLUMBIA ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1905
Mailing Address - Country:US
Mailing Address - Phone:518-828-3358
Mailing Address - Fax:518-828-5894
Practice Address - Street 1:325 COLUMBIA ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1905
Practice Address - Country:US
Practice Address - Phone:518-828-3358
Practice Address - Fax:518-828-5894
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBIA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-19
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1001200R251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000400261001OtherBLUE SHIELD NENY
NY2301493OtherAETNA US HEALTHCARE
NY986047OtherMVP
NYW85041OtherPART B PROVIDER NUMBER
NY00400261001OtherBLUE CROSS BLUE SHIELD
NY000000013641OtherGHI HMO
NY040401000513OtherFIDELIS CARE OFNY
NY10002521OtherCAPITAL DISTRICT PHP
NY1578752192OtherNPI
NY004569OtherEMPIRE BCBS
NYW85041OtherPART B PROVIDER NUMBER
NY000400261001OtherBLUE SHIELD NENY
NY2301493OtherAETNA US HEALTHCARE
NY=========OtherUNITED HEALTHCARE