Provider Demographics
NPI:1720415284
Name:HAMILTON COUNTY
Entity Type:Organization
Organization Name:HAMILTON COUNTY
Other - Org Name:HAMILTON COUNTY COMMUNITY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF COMMUNITY SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:KLEPPANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:518-648-5355
Mailing Address - Street 1:143 WHITE BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:INDIAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12842-1424
Mailing Address - Country:US
Mailing Address - Phone:518-648-5355
Mailing Address - Fax:518-648-6437
Practice Address - Street 1:143 WHITE BIRCH LN
Practice Address - Street 2:
Practice Address - City:INDIAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:12842-1424
Practice Address - Country:US
Practice Address - Phone:518-648-5355
Practice Address - Fax:518-648-6437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health