Healthcare Provider Details

I. General information

NPI: 1831283985
Provider Name (Legal Business Name): COLUMBIA COUNTY DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 COLUMBIA ST SUITE 100
HUDSON NY
12534-1902
US

IV. Provider business mailing address

325 COLUMBIA ST SUITE 100
HUDSON NY
12534-1902
US

V. Phone/Fax

Practice location:
  • Phone: 518-828-4278
  • Fax: 518-671-6738
Mailing address:
  • Phone: 518-828-4278
  • Fax: 518-671-6738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. LAUREN CLARK
Title or Position: DIRECTOR
Credential:
Phone: 518-828-4278