Fulton County Mental Health Clinic

LBN: Fulton County Addiction Services
Fulton County Mental Health Clinic is an health care organization with primary practice located at 73 N Main St 3Rd Floor Suite 302, Gloversville NY 12078-3043. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Fulton County Addiction Services can be contacted via phone (518) 773-3532, or through Gagnon, Ernest J via phone (518) 773-3531.

Contact Information

Primary practice address
73 N Main St 3Rd Floor Suite 302 Gloversville NY 12078-3043
Phone: (518) 773-3532
Fax: (518) 773-4003
Website:
Map and Directions
Authorized official contact:
Name: Gagnon, Ernest J LMSW
Phone: (518) 773-3531

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X New York

Profile Details

NPI number 1043387533
LBN Legal business name Fulton County Addiction Services
DBA Doing business as Fulton County Mental Health Clinic
Authorized official Gagnon, Ernest J LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043387533 NPPES
Oklahoma MEDICAID 00562863

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