Provider Demographics
NPI:1356091334
Name:CATTARAUGUS COUNTY SHERIFF'S OFFICE
Entity type:Organization
Organization Name:CATTARAUGUS COUNTY SHERIFF'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHERIFF
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:S
Authorized Official - Last Name:WHITCAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-938-9191
Mailing Address - Street 1:301 COURT ST.
Mailing Address - Street 2:
Mailing Address - City:LITTLE VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14755
Mailing Address - Country:US
Mailing Address - Phone:716-938-9191
Mailing Address - Fax:716-938-9664
Practice Address - Street 1:301 COURT ST.
Practice Address - Street 2:
Practice Address - City:LITTLE VALLEY
Practice Address - State:NY
Practice Address - Zip Code:14755
Practice Address - Country:US
Practice Address - Phone:716-938-9191
Practice Address - Fax:716-938-9664
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATTARAUGUS COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health