Provider Demographics
NPI:1255497541
Name:COUNTY OF WASHINGTON
Entity Type:Organization
Organization Name:COUNTY OF WASHINGTON
Other - Org Name:WASHINGTON COUNTY PUBLICH HEALTH PSSHSP
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:L
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MPS
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:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01431025Medicaid