Provider Demographics
NPI:1235355793
Name:COUNTY OF ERIE
Entity Type:Organization
Organization Name:COUNTY OF ERIE
Other - Org Name:ERIE COUNTY DEPARTMENT OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:814-451-6700
Mailing Address - Street 1:606 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1111
Mailing Address - Country:US
Mailing Address - Phone:814-451-6700
Mailing Address - Fax:
Practice Address - Street 1:606 W 2ND ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1111
Practice Address - Country:US
Practice Address - Phone:814-451-6700
Practice Address - Fax:814-451-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015135840003OtherPROMISE PROVIDER NUMBER