Provider Demographics
NPI:1154329761
Name:ONTARIO COUNTY
Entity Type:Organization
Organization Name:ONTARIO COUNTY
Other - Org Name:ONTARIO COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MPH
Authorized Official - Phone:585-396-4354
Mailing Address - Street 1:3019 COUNTY COMPLEX DR
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-9505
Mailing Address - Country:US
Mailing Address - Phone:585-396-4354
Mailing Address - Fax:585-396-4313
Practice Address - Street 1:3019 COUNTY COMPLEX DR
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-9505
Practice Address - Country:US
Practice Address - Phone:585-396-4354
Practice Address - Fax:585-396-4313
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONTARIO COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-08
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11273BMedicare ID - Type UnspecifiedMEDICARE PART B
NY=========OtherFEDERAL TAX ID