Healthcare Provider Details

I. General information

NPI: 1841284775
Provider Name (Legal Business Name): COUNTY OF CATTARAUGUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 10/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2245 W STATE ST
OLEAN NY
14760-1921
US

IV. Provider business mailing address

2245 W STATE ST
OLEAN NY
14760-1921
US

V. Phone/Fax

Practice location:
  • Phone: 716-373-1910
  • Fax: 716-373-1805
Mailing address:
  • Phone: 716-373-1910
  • Fax: 716-373-1805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0401303N
License Number StateNY

VII. Legacy identifiers

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

# 1
Identifier0401303N
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerOPERATING CERTIFICATE NO.

VIII. Authorized Official

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