Provider Demographics
NPI:1649232380
Name:DUTCHESS COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:DUTCHESS COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL ACCOUNT CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-486-3405
Mailing Address - Street 1:387 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3316
Mailing Address - Country:US
Mailing Address - Phone:845-486-3405
Mailing Address - Fax:845-486-3447
Practice Address - Street 1:387 MAIN ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3316
Practice Address - Country:US
Practice Address - Phone:845-486-3405
Practice Address - Fax:845-486-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00908609Medicaid
NY00472904Medicaid
NY00473189Medicaid
NY00473189Medicaid