Healthcare Provider Details

I. General information

NPI: 1457346991
Provider Name (Legal Business Name): COUNTY OF CATTARAUGUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 10/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9822 ROUTE 16 BOX 310
MACHIAS NY
14101-9771
US

IV. Provider business mailing address

9822 ROUTE 16 BOX 310
MACHIAS NY
14101-9771
US

V. Phone/Fax

Practice location:
  • Phone: 716-353-4316
  • Fax: 716-353-8516
Mailing address:
  • Phone: 716-353-4316
  • Fax: 716-353-8516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0469300N
License Number StateNY

VIII. Authorized Official

Name: CAROL V GUGINO
Title or Position: CONTROLLER
Credential:
Phone: 716-373-1910