1841284775 NPI number — COUNTY OF CATTARAUGUS

Table of content: (NPI 1841284775)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841284775 NPI number — COUNTY OF CATTARAUGUS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF CATTARAUGUS
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:
THE PINES HEALTHCARE & REHABILITATION CENTER, OLEAN CAMPUS
Provider Other Organization Name Type Code:
3
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:
1841284775
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/03/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2245 W STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLEAN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14760-1921
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-373-1910
Provider Business Mailing Address Fax Number:
716-373-1805

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2245 W STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLEAN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14760-1921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-373-1910
Provider Business Practice Location Address Fax Number:
716-373-1805
Provider Enumeration Date:
09/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
GUGINO
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
V
Authorized Official Title or Position:
CONTROLLER
Authorized Official Telephone Number:
716-373-1910

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  0401303N , 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)

  • Identifier: 0401303N . This is a "OPERATING CERTIFICATE NO." identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com