Provider Demographics
NPI:1831283985
Name:COLUMBIA COUNTY DEPARTMENT OF HEALTH
Entity Type:Organization
Organization Name:COLUMBIA COUNTY DEPARTMENT OF HEALTH
Other - Org Name:EARLY INTERVENTION AND PRESCHOOL SERVICES PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPADAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-828-4278
Mailing Address - Street 1:325 COLUMBIA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1902
Mailing Address - Country:US
Mailing Address - Phone:518-828-4278
Mailing Address - Fax:518-671-6738
Practice Address - Street 1:325 COLUMBIA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1902
Practice Address - Country:US
Practice Address - Phone:518-828-4278
Practice Address - Fax:518-671-6738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
0041968OtherGROUP HEALTH INC
000499404001OtherBLUE CROSS BLUE SHIELD
NY03003752Medicaid
000499404001OtherBLUE SHIELD NENY
13641OtherGHI HMO
10002521OtherCAPITAL DISTRICT PHP
004569OtherEMPIRE BCBS
NY00473258Medicaid
2301493OtherAETNA US HEALTHCARE
986047OtherMVP
040401000513OtherFIDELIS CARE OF NY
113641OtherWELLCARE
2301493OtherAETNA US HEALTHCARE
=========OtherUNITED HEALTHCARE
=========OtherCIGNA