1144220039 NPI number — CORTLAND COUNTY HEALTH DEPT.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144220039 NPI number — CORTLAND COUNTY HEALTH DEPT.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CORTLAND COUNTY HEALTH DEPT.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144220039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
60 CENTRAL AVE
Provider Second Line Business Mailing Address:
CORTLAND COUNTY HEALTH DEPARTMENT
Provider Business Mailing Address City Name:
CORTLAND
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13045-2746
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-753-5135
Provider Business Mailing Address Fax Number:
607-753-5209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
60 CENTRAL AVE
Provider Second Line Business Practice Location Address:
CORTLAND COUNTY HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
CORTLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13045-2746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-753-5135
Provider Business Practice Location Address Fax Number:
607-753-5209
Provider Enumeration Date:
07/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
FEUERHERM
Authorized Official First Name:
CATHERINE
Authorized Official Middle Name:
Authorized Official Title or Position:
PUBLIC HEALTH DIRECTOR
Authorized Official Telephone Number:
607-753-5135

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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