Provider Demographics
NPI:1457346991
Name:COUNTY OF CATTARAUGUS
Entity Type:Organization
Organization Name:COUNTY OF CATTARAUGUS
Other - Org Name:THE PINES HEALTHCARE AND REHAB CENTER-MACHIAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:V
Authorized Official - Last Name:GUGINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-373-1910
Mailing Address - Street 1:9822 ROUTE 16
Mailing Address - Street 2:BOX 310
Mailing Address - City:MACHIAS
Mailing Address - State:NY
Mailing Address - Zip Code:14101-9771
Mailing Address - Country:US
Mailing Address - Phone:716-353-4316
Mailing Address - Fax:716-353-8516
Practice Address - Street 1:9822 ROUTE 16
Practice Address - Street 2:BOX 310
Practice Address - City:MACHIAS
Practice Address - State:NY
Practice Address - Zip Code:14101-9771
Practice Address - Country:US
Practice Address - Phone:716-353-4316
Practice Address - Fax:716-353-8516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0469300N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0469300NMedicaid