Provider Demographics
NPI:1417955543
Name:CORTLAND COUNTY
Entity Type:Organization
Organization Name:CORTLAND COUNTY
Other - Org Name:CARING COMMUNITY HOSPICE OF CORTLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:P
Authorized Official - Last Name:FEUERHERM
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:607-753-5036
Mailing Address - Street 1:11 KENNEDY PKWY
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-1409
Mailing Address - Country:US
Mailing Address - Phone:607-753-9105
Mailing Address - Fax:607-758-7668
Practice Address - Street 1:11 KENNEDY PKWY
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-1409
Practice Address - Country:US
Practice Address - Phone:607-753-9105
Practice Address - Fax:607-758-7668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1101500F315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01261756Medicaid
NY01261756Medicaid