Organization
COLUMBIA COUNTY DEPARTMENT OF HEALTH
Active
Other names
Early Intervention and Preschool Services Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN CLARK (DIRECTOR)
(518) 828-4278
Entity
Organization
Contact information
Practice address
325 COLUMBIA ST, SUITE 100, HUDSON, NY 12534-1902
(518) 828-4278
(518) 671-6738
Mailing address
325 COLUMBIA ST, SUITE 100, HUDSON, NY 12534-1902
(518) 828-4278
(518) 671-6738
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499404001
BLUE CROSS BLUE SHIELD
—
01
—
0041968
GROUP HEALTH INC
—
01
—
004569
EMPIRE BCBS
—
05
—
00473258
—
NY
05
—
03003752
—
NY
01
—
040401000513
FIDELIS CARE OF NY
—
01
—
10002521
CAPITAL DISTRICT PHP
—
01
—
113641
WELLCARE
—
01
—
13641
GHI HMO
—
01
—
2301493
AETNA US HEALTHCARE
—
01
—
986047
MVP
—
Enumeration date
10/03/2006
Last updated
08/30/2024
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