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CHENANGO COUNTY NPI 1770649147


NPI Information

NPI: 1770649147
Provider Name: CHENANGO COUNTY

Other Name: PH PREVENT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 33D0717045

Address:
5 COURT ST
NORWICH, NY
ZIP 13815
Phone: (607) 337-1660
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CHENANGO COUNTY is a public health or welfare in Norwich, NY. CHENANGO COUNTY NPI is 1770649147. The provider is registered as an organization entity type.
The provider Other Name Is Ph Prevent.

The provider's business location address is:

5 COURT ST
NORWICH, NY
ZIP 13815-695
Phone: (607) 337-1660

The provider's authorized official is Eric Depperman .
The authorized official title is Admin. Services Officer and has the following contact phone number (607) 337-1658.

The CLIA number assigned to this NPI record is 33D0717045 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 3/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100474635MEDICAIDNEW YORK
203003936MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.