Provider Demographics
NPI:1194276907
Name:OTSEGO COUNTY OFFICE FOR THE AGING
Entity type:Organization
Organization Name:OTSEGO COUNTY OFFICE FOR THE AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-547-4232
Mailing Address - Street 1:140 COUNTY HIGHWAY 33W
Mailing Address - Street 2:THE MEADOWS OFFICE COMPLEX SUITE 5
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-4953
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:140 COUNTY HIGHWAY 33W
Practice Address - Street 2:THE MEADOWS OFFICE COMPLEX SUITE 5
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-4953
Practice Address - Country:US
Practice Address - Phone:607-547-4232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF OTSEGO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management