Provider Demographics
NPI:1346612298
Name:WARREN COUNTY
Entity Type:Organization
Organization Name:WARREN COUNTY
Other - Org Name:WARREN/HAMILTON OFA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-824-8818
Mailing Address - Street 1:1340 STATE ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:LAKE GEORGE
Mailing Address - State:NY
Mailing Address - Zip Code:12845-3434
Mailing Address - Country:US
Mailing Address - Phone:518-761-6347
Mailing Address - Fax:
Practice Address - Street 1:1340 STATE ROUTE 9
Practice Address - Street 2:
Practice Address - City:LAKE GEORGE
Practice Address - State:NY
Practice Address - Zip Code:12845-3434
Practice Address - Country:US
Practice Address - Phone:518-761-6347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals