Provider Demographics
NPI:1336183805
Name:COUNTY OF CATTARAUGUS COUNTY TREASURER
Entity Type:Organization
Organization Name:COUNTY OF CATTARAUGUS COUNTY TREASURER
Other - Org Name:HOMECARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:716-701-3398
Mailing Address - Street 1:1 LEO MOSS DR
Mailing Address - Street 2:SUITE 4010
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1100
Mailing Address - Country:US
Mailing Address - Phone:716-373-8050
Mailing Address - Fax:716-701-3737
Practice Address - Street 1:1 LEO MOSS DR
Practice Address - Street 2:SUITE 4010
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1100
Practice Address - Country:US
Practice Address - Phone:716-373-8050
Practice Address - Fax:716-701-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0401600 & 0401901L251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY527OtherBC/BS AND CB
NY00475049Medicaid
NY8390018OtherIH & ENCOMPASS 65
NY00660595Medicaid
NY00011208901OtherUNIVERA & SR. CHOICE
NY00011208901OtherUNIVERA & SR. CHOICE