Provider Demographics
NPI:1134145287
Name:COUNTY OF WASHINGTON NEW YORK
Entity Type:Organization
Organization Name:COUNTY OF WASHINGTON NEW YORK
Other - Org Name:WASHINGTON COUNTY HOSPICE AND PALLIATIVE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-746-2400
Mailing Address - Street 1:415 LOWER MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12839-2661
Mailing Address - Country:US
Mailing Address - Phone:518-746-2400
Mailing Address - Fax:518-746-2410
Practice Address - Street 1:415 LOWER MAIN ST
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-2661
Practice Address - Country:US
Practice Address - Phone:518-746-2400
Practice Address - Fax:518-746-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5721502F251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040401000482OtherFIDELIS CARE NY
NY10002877OtherCDPHP
NY000400271002OtherBLUESHIELD OF NENY
NY000000004493OtherGHI HMO
NY5881OtherEMPIRE BLUECROSS
NY01419323Medicaid
NY52121OtherMVP
NY5881OtherEMPIRE BLUECROSS
NY01419323Medicaid