Provider Demographics
NPI:1609804954
Name:ORLEANS COUNTY TREASURER OFFICE
Entity Type:Organization
Organization Name:ORLEANS COUNTY TREASURER OFFICE
Other - Org Name:ORLEANS COUNTY HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:H
Authorized Official - Last Name:CASTRICONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-589-3278
Mailing Address - Street 1:14012 ROUTE 31 WEST
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-9301
Mailing Address - Country:US
Mailing Address - Phone:585-589-3278
Mailing Address - Fax:585-589-2878
Practice Address - Street 1:14012 ROUTE 31 W
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-9301
Practice Address - Country:US
Practice Address - Phone:585-589-3278
Practice Address - Fax:585-589-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1872L001251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01430753Medicaid
NY01879469Medicaid
NY00356001Medicaid
NY02004117Medicaid
NY02004117Medicaid