Mountain Lake Services

LBN: Essex County Chapter Nysarc, Inc
Mountain Lake Services is an health care organization with primary practice located at 10 St Patrick Pl , Port Henry NY 12974-1200. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Essex County Chapter Nysarc, Inc can be contacted via phone (518) 546-3381, or through Nephew, Martin J via phone (518) 546-3381.

Contact Information

Primary practice address
10 St Patrick Pl Port Henry NY 12974-1200
Phone: (518) 546-3381
Fax: (518) 546-7138
Website:
Map and Directions
Authorized official contact:
Name: Nephew, Martin J EXECUTIVE DIRECTOR
Phone: (518) 546-3381

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 15090188021 New York

Profile Details

NPI number 1811417827
LBN Legal business name Essex County Chapter Nysarc, Inc
DBA Doing business as Mountain Lake Services
Authorized official Nephew, Martin J EXECUTIVE DIRECTOR
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2017
Last updated Jul 21st, 2022 - about 2 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 1811417827 NPPES
New York MEDICAID 01276842

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