Provider Demographics
NPI:1255479226
Name:COUNTY OF GENESEE COUNTY TREASURER
Entity Type:Organization
Organization Name:COUNTY OF GENESEE COUNTY TREASURER
Other - Org Name:GENESEE COUNTY HEALTH DEPARTMENT MOMS PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:GENESEE COUNTY LEGISLATURE CHAIR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:PAT
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-344-2580
Mailing Address - Street 1:3837 W MAIN STREET RD
Mailing Address - Street 2:GENESEE COUNTY BLDG. 2
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-9406
Mailing Address - Country:US
Mailing Address - Phone:585-344-2580
Mailing Address - Fax:585-344-4713
Practice Address - Street 1:3837 W MAIN STREET RD
Practice Address - Street 2:GENESEE COUNTY BLDG. 2
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-9406
Practice Address - Country:US
Practice Address - Phone:585-344-2580
Practice Address - Fax:585-344-4713
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF GENESEE COUNTY TREASURER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-02
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal NewbornGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00356065Medicaid