Provider Demographics
NPI:1114915378
Name:CHENANGO COUNTY
Entity Type:Organization
Organization Name:CHENANGO COUNTY
Other - Org Name:PUBLIC HEALTH HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:FLINDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-337-1660
Mailing Address - Street 1:5 COURT ST
Mailing Address - Street 2:COUNTY OFFICE BUILDING
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1695
Mailing Address - Country:US
Mailing Address - Phone:607-337-1660
Mailing Address - Fax:
Practice Address - Street 1:5 COURT ST
Practice Address - Street 2:COUNTY OFFICE BUILDING
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1695
Practice Address - Country:US
Practice Address - Phone:607-337-1660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-12
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0824600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00474593Medicaid
NY00474593Medicaid