Provider Demographics
NPI:1841284775
Name:COUNTY OF CATTARAUGUS
Entity type:Organization
Organization Name:COUNTY OF CATTARAUGUS
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:2245 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1921
Mailing Address - Country:US
Mailing Address - Phone:716-373-1910
Mailing Address - Fax:716-373-1805
Practice Address - Street 1:2245 W STATE ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1921
Practice Address - Country:US
Practice Address - Phone:716-373-1910
Practice Address - Fax:716-373-1805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0401303N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0401303NOtherOPERATING CERTIFICATE NO.
NY335357Medicare Oscar/Certification