Healthcare Provider Details

I. General information

NPI: 1609804954
Provider Name (Legal Business Name): ORLEANS COUNTY TREASURER OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 12/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14012 ROUTE 31 W
ALBION NY
14411-9301
US

IV. Provider business mailing address

14012 ROUTE 31 WEST
ALBION NY
14411-9301
US

V. Phone/Fax

Practice location:
  • Phone: 585-589-3278
  • Fax: 585-589-2878
Mailing address:
  • Phone: 585-589-3278
  • Fax: 585-589-2878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number1872L001
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier01430753
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer
# 2
Identifier01879469
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer
# 3
Identifier00356001
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer
# 4
Identifier02004117
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name: KIMBERLY H CASTRICONE
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 585-589-3278