Provider Demographics
NPI:1497987788
Name:SCHOHARIE COUNTY
Entity Type:Organization
Organization Name:SCHOHARIE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARTZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-295-2276
Mailing Address - Street 1:4 CORTLAND DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1319
Mailing Address - Country:US
Mailing Address - Phone:888-603-2455
Mailing Address - Fax:888-603-2455
Practice Address - Street 1:1 DEPOT LANE
Practice Address - Street 2:SUITE 5
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157-0000
Practice Address - Country:US
Practice Address - Phone:518-295-2283
Practice Address - Fax:518-295-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4799341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ300013728Medicare PIN