Provider Demographics
NPI:1073821906
Name:COUNTY OF ALLEGANY
Entity Type:Organization
Organization Name:COUNTY OF ALLEGANY
Other - Org Name:ALLEGANY COUNTY DEPARTMENT OF HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLENGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-268-9250
Mailing Address - Street 1:7 COURT ST
Mailing Address - Street 2:DEPARTMENT OF HEALTH, ROOM 30
Mailing Address - City:BELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:14813-1076
Mailing Address - Country:US
Mailing Address - Phone:585-268-9250
Mailing Address - Fax:585-268-9264
Practice Address - Street 1:7 COURT ST
Practice Address - Street 2:DEPARTMENT OF HEALTH, ROOM 30
Practice Address - City:BELMONT
Practice Address - State:NY
Practice Address - Zip Code:14813-1076
Practice Address - Country:US
Practice Address - Phone:585-268-9250
Practice Address - Fax:585-268-9264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03488319Medicaid
BB7158Medicare PIN