Provider Demographics
NPI:1114401171
Name:DELAWARE COUNTY PUBLIC HEALTH SERVICES
Entity Type:Organization
Organization Name:DELAWARE COUNTY PUBLIC HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-832-5158
Mailing Address - Street 1:99 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:NY
Mailing Address - Zip Code:13753-1221
Mailing Address - Country:US
Mailing Address - Phone:607-832-5200
Mailing Address - Fax:607-832-6022
Practice Address - Street 1:99 MAIN ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:NY
Practice Address - Zip Code:13753-1221
Practice Address - Country:US
Practice Address - Phone:607-832-5200
Practice Address - Fax:607-832-6022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare