Provider Demographics
NPI:1104886365
Name:THE COUNTY OF LANCASTER
Entity type:Organization
Organization Name:THE COUNTY OF LANCASTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FISCAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-399-7376
Mailing Address - Street 1:150 N QUEEN ST STE 610
Mailing Address - Street 2:TARGETED SERVICE MANAGEMENT
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-1805
Mailing Address - Country:US
Mailing Address - Phone:717-399-7376
Mailing Address - Fax:717-299-7968
Practice Address - Street 1:150 N QUEEN ST STE 515
Practice Address - Street 2:TARGETED SERVICES MANAGEMENT
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3562
Practice Address - Country:US
Practice Address - Phone:717-399-7376
Practice Address - Fax:717-299-7968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007577200015Medicaid