Provider Demographics
NPI:1427189372
Name:COUNTY OF WASHINGTON
Entity Type:Organization
Organization Name:COUNTY OF WASHINGTON
Other - Org Name:WASHINGTON COUNTY PUBLIC HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position: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:
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:2007-03-09
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00321797Medicaid