Provider Demographics
NPI:1982761193
Name:COUNTY OF ONEIDA
Entity Type:Organization
Organization Name:COUNTY OF ONEIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL SERVICES ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ENGLE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:315-798-5080
Mailing Address - Street 1:800 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-2939
Mailing Address - Country:US
Mailing Address - Phone:315-798-5080
Mailing Address - Fax:315-798-5022
Practice Address - Street 1:800 PARK AVE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-2939
Practice Address - Country:US
Practice Address - Phone:315-798-5080
Practice Address - Fax:315-798-5022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01430726Medicaid