Provider Demographics
NPI:1942660824
Name:NORTHPOINTE COUNCIL, INC.
Entity Type:Organization
Organization Name:NORTHPOINTE COUNCIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL ASSISTANT BILLING OPERATI
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:QUAGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-282-1228
Mailing Address - Street 1:800 MAIN STREET SUITE 2A
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-1143
Mailing Address - Country:US
Mailing Address - Phone:716-282-1228
Mailing Address - Fax:716-282-1238
Practice Address - Street 1:2470 ALLEN AVE
Practice Address - Street 2:FIRST STEP CENTER
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14303-1908
Practice Address - Country:US
Practice Address - Phone:716-285-3421
Practice Address - Fax:716-285-3438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160710509324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00932467Medicaid