1417292020 NPI number — COUNTY OF NIAGARA

Table of content: (NPI 1417292020)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417292020 NPI number — COUNTY OF NIAGARA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF NIAGARA
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:
6
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:
1417292020
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1001-11TH STREET 3RD FLOOR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NIAGARA FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14301-1201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-278-8596
Provider Business Mailing Address Fax Number:
716-278-1936

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001-TTH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NIAGARA FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14301-1201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-278-8596
Provider Business Practice Location Address Fax Number:
716-278-1936
Provider Enumeration Date:
12/07/2012

Additional Information

Authorized Official

Authorized Official Last Name:
STAPLETON
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
PUBLIC HEALTH DIRECTOR
Authorized Official Telephone Number:
716-439-7435

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , with the licence number:  3101600 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00011196701 . This is a "UNIVERA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02995908 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8350198 . This is a "INDEPENDENT HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 040401000231 . This is a "FIDELIS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 03575940 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00000052300 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com