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NPI Code Detail

MEDICARE: TOMPKINS COUNTY HEALTH DEPARTMENT

MEDICARE: TOMPKINS COUNTY HEALTH DEPARTMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235253394
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOMPKINS COUNTY HEALTH DEPARTMENT
Provider Business Mailing Address
First Line : 401 DATES DR
Second Line :
City : ITHACA
State : NY
Zip : 14850-1344
Country : US
Telephone Number : 607-274-6641
Fax Number : 607-274-6648
Provider Business Practice Location Address
First Line : 55 BROWN RD
Second Line :
City : ITHACA
State : NY
Zip : 14850-1247
Country : US
Telephone Number : 607-274-6641
Fax Number : 607-274-6648
Authorized Official
Title or Position : PUBLIC HEALTH ADMINISTRATOR
Name : MS. BRENDA GRINNELL CROSBY
Credential :
Telephone Number : 607-274-6677
Provider Enumeration Date : 03/16/2007
Last Update Date : 03/21/2025

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Directions to “TOMPKINS COUNTY HEALTH DEPARTMENT ” Practice Location

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