Healthcare Provider Details

I. General information

NPI: 1801873351
Provider Name (Legal Business Name): SCHOHARIE COUNTY HEALTH DEPT.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

284 MAIN STREET
SCHOHARIE NY
12157
US

IV. Provider business mailing address

PO BOX 667
SCHOHARIE NY
12157
US

V. Phone/Fax

Practice location:
  • Phone: 518-295-8365
  • Fax: 518-295-8786
Mailing address:
  • Phone: 518-295-8365
  • Fax: 518-295-8786

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 Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number4724200R
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ASANTE SHIPP-HILTS
Title or Position: PUBLIC HEALTH DIRECTOR
Credential: MPH
Phone: 518-295-8365