MEDICARE: WASHINGTON COUNTY OFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1730548702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON COUNTY OFA

Provider Business Mailing Address
First Line	:	383 BROADWAY
Second Line	:
City	:	FORT EDWARD
State	:	NY
Zip	:	12828-1001
Country	:	US
Telephone Number	:	518-746-2421
Fax Number	:

Provider Business Practice Location Address
First Line	:	383 BROADWAY
Second Line	:
City	:	FORT EDWARD
State	:	NY
Zip	:	12828-1001
Country	:	US
Telephone Number	:	518-746-2421
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. GINA CANTNUCCI-MITCHELL
Credential	:
Telephone Number	:	518-746-2421

Provider Enumeration Date	:	02/18/2016
Last Update Date	:	02/18/2016

Similar Medicare Providers

1437028016 — COUNTY OF WASHINGTON NEW YORK
Practice Location Address:

383 BROADWAY BLDG B
FORT EDWARD, NY
12828-1001

Practice Phone: 888-603-2455
Practice Fax: 888-603-2455

1063414308 — DR. PATRICIA L. HALE I MD, PHD, FACP
Practice Location Address:

321 BROADWAY
FORT EDWARD, NY
12828-1233

Practice Phone: 518-747-1041
Practice Fax: 518-747-1022

1740278837 — PHILIP JOSEPH GARA JR. MD FACP
Practice Location Address:

319 BROADWAY
FORT EDWARD, NY
12828-1221

Practice Phone: 518-761-0300
Practice Fax: 518-824-2390

1417947722 — FORT HUDSON NURSING CENTER, INC.
Practice Location Address:

319 BROADWAY
FORT EDWARD, NY
12828-1221

Practice Phone: 518-747-2811
Practice Fax: 518-747-2740

1356322564 — CHARLENE HARRINGTON PA
Practice Location Address:

327 BROADWAY , FORT EDWARD INTERNAL MEDICINE
FORT EDWARD, NY
12828-1233

Practice Phone: 518-747-1041
Practice Fax: 518-747-1022

1427031319 — FORT EDWARD RESCUE SQUAD INC
Practice Location Address:

75 SCHUYLER STREET
FORT EDWARD, NY
12828

Practice Phone: 518-747-6198
Practice Fax: 518-746-9479

Directions to “WASHINGTON COUNTY OFA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.