Healthcare Provider Details

I. General information

NPI: 1023370517
Provider Name (Legal Business Name): WARREN COUNTY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 06/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 STATE ROUTE 9 MUNICIPAL CENTER
LAKE GEORGE NY
12845-3434
US

IV. Provider business mailing address

1340 STATE ROUTE 9 MUNICIPAL CENTER
LAKE GEORGE NY
12845-3434
US

V. Phone/Fax

Practice location:
  • Phone: 518-761-6580
  • Fax: 518-761-6354
Mailing address:
  • Phone: 518-761-6580
  • Fax: 518-761-6354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAT AUER
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential:
Phone: 518-761-6580