| Organization Name: | MADISON COUNTY DEPARTMENT OF HEALTH |
| NPI Number: | 1487796975 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC FAISST (PUBLIC HEALTH DIRECTOR) |
| Mailing Address: | 138 North Court St Building 5 Wampsville |
| State: | NY US |
| Postal Code: | 131630605 |
| Phone Number: | 3153662501 |
| Fax Number: | 3153662207 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 04/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |