Provider Demographics
NPI:1679691745
Name:SARATOGA COUNTY
Entity Type:Organization
Organization Name:SARATOGA COUNTY
Other - Org Name:SARATOGA COUNTY DEPARTMENT OF HEALTH
Other - Org Type:Doing Business As
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, MPH
Authorized Official - Phone:518-584-7460
Mailing Address - Street 1:6012 COUNTY FARM ROAD
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4501200R261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473689Medicaid
NYJ300008156Medicare PIN
NY00473689Medicaid