ST REGIS MOHAWK TRIBE (NPI# 1659521052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659521052 |
| Entity Type | Organization |
| Organization Name | ST REGIS MOHAWK TRIBE |
| Other Organization Name | PARTRIDGE HOUSE |
| Practice Address |
412 State Route 37 Akwesasne NY 13655-3109 |
| Practice Telephone | 5183583141 |
| Practice Fax Number | 5183582797 |
| Mailing Telephone | 5183583141 |
| Mailing Fax Number | 5183582797 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | DEBORAH TERRANCE (HEALTH DIRECTOR) |
| Authorized Official Telephone | 5183583141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 111211393 | NY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OPERATING CERTIFICATE | 111211393 | 01 |
| NY | 01178234 | 05 |
| Other Name | Type Code |
|---|---|
| PARTRIDGE HOUSE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344558 | St Regis Mohawk Tribe | Clinic/Center | 412 State Route 37, Akwesasne, NY 13655-3109 | 2005-08-24 |
| 1053432195 | St Regis Mohawk Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 412 State Route 37, Akwesasne, NY 13655-3109 | 2007-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST REGIS MOHAWK TRIBE | 412 State Rte 37, Hogansburg, NY 13655-3109 |
| Street Address |
412 STATE ROUTE 37 |
| City | AKWESASNE |
| State | NY |
| Zip Code | 13655-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457344558 | St Regis Mohawk Tribe | Clinic/Center | 412 State Route 37, Akwesasne, NY 13655-3109 | 2005-08-24 |
| 1003253428 | Deborah A Fent | Dental Hygienist | 412 State Route 37, Akwesasne, NY 13655-3109 | 2013-05-24 |
| 1952573164 | Ellen Maxine Cook Barnes | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2008-03-27 |
| 1053432195 | St Regis Mohawk Tribe | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 412 State Route 37, Akwesasne, NY 13655-3109 | 2007-04-03 |
| 1558497321 | Alexandra Marie Cook | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2007-02-26 |
| 1568598233 | Jill Conrad | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2007-02-26 |
| 1508920430 | Thomas Albert Saxby | Pharmacist | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-22 |
| 1700940632 | Brian Wayne Bond | Pharmacist | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-22 |
| 1790849800 | Christine L. Venery | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-21 |
| 1255495230 | Anita M. Plann | Counselor | 412 State Route 37, Akwesasne, NY 13655-3109 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651946 | Elizabeth Marie Eggleston | Social Worker | Saint Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655 | 2020-05-28 |
| 1093206732 | Heather Marie Pontius | Dietitian, Registered | 378 State Route 37, Hogansburg, NY 13655 | 2018-05-29 |
| 1548400690 | Melissa Ann Dalton | Technician/Technologist | 155 State Route 37, Hogansburg, NY 13655 | 2009-03-03 |
| 1730329848 | Barbara George | Technician/Technologist | 346 St.regis Road, Akwesasne, NY 13655 | 2009-03-02 |
| 1225183577 | Hillary Jill Pyke | Optometrist | 997 State Rte 37, Hogansburg, NY 13655 | 2007-01-25 |
| 1871663294 | Katherine R Henderson | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2006-11-09 |
| 1538783220 | Trish D Keese | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1265056956 | Connie M Thompson | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1457975138 | Brittany L Benedict | Counselor | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-29 |
| 1063035582 | Saint Regis Mohawk Tribe | Health Educator | 404 State Route 37, Hogansburg, NY 13655 | 2020-05-19 |
| Find all providers in zip 13655 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.