# MADISON COUNTY DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750406161
- **Authorized official:** MR. ERIC FAISST (PUBLIC HEALTH DIRECTOR)
- **Authorized official phone:** (315) 366-2501

## Contact information

- **Practice address:** 138 N COURT ST, BLDG \#5, WAMPSVILLE, NY 13163-0605
- **Practice address phone:** (315) 366-2501
- **Practice address fax:** (315) 366-2566
- **Mailing address:** PO BOX 605, WAMPSVILLE, NY 13163-0605
- **Mailing address phone:** (315) 366-2501
- **Mailing address fax:** (315) 366-2566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 04/20/2015
