Healthcare Provider Details

I. General information

NPI: 1588661326
Provider Name (Legal Business Name): ONTARIO COUNTY HEALTH FACILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3062 COUNTY COMPLEX DR
CANANDAIGUA NY
14424-9502
US

IV. Provider business mailing address

3062 COUNTY COMPLEX DR
CANANDAIGUA NY
14424-9502
US

V. Phone/Fax

Practice location:
  • Phone: 585-396-4320
  • Fax: 585-396-4414
Mailing address:
  • Phone: 585-396-4320
  • Fax: 585-396-4414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3429302N
License Number StateNY

VIII. Authorized Official

Name: MR. GREGORY POWERS
Title or Position: ADMINISTRATOR
Credential:
Phone: 585-396-4320