Healthcare Provider Details

I. General information

NPI: 1588602064
Provider Name (Legal Business Name): COUNTY OF GENESEE COUNTY TREASURER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 E MAIN STREET RD STE 2
BATAVIA NY
14020-3444
US

IV. Provider business mailing address

5130 E MAIN STREET RD STE 2
BATAVIA NY
14020-3444
US

V. Phone/Fax

Practice location:
  • Phone: 585-344-1421
  • Fax: 585-344-8554
Mailing address:
  • Phone: 585-344-1421
  • Fax: 585-344-8554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLIE FOUQUET
Title or Position: BILLING MANAGER/FINANCE PROGRAM SPE
Credential:
Phone: 585-344-1421