Provider Demographics
NPI:1457571135
Name:WARREN COUNTY
Entity type:Organization
Organization Name:WARREN COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GINELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:518-761-6580
Mailing Address - Street 1:1340 STATE ROUTE 9
Mailing Address - Street 2:MUNICIPAL CENTER
Mailing Address - City:LAKE GEORGE
Mailing Address - State:NY
Mailing Address - Zip Code:12845-3434
Mailing Address - Country:US
Mailing Address - Phone:518-761-6580
Mailing Address - Fax:518-761-6422
Practice Address - Street 1:1340 STATE ROUTE 9
Practice Address - Street 2:MUNICIPAL CENTER
Practice Address - City:LAKE GEORGE
Practice Address - State:NY
Practice Address - Zip Code:12845-9803
Practice Address - Country:US
Practice Address - Phone:518-761-6580
Practice Address - Fax:518-761-6422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WARREN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-26
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000485039001OtherSENIOR BLUE INS.-PH
NY55151BMedicare ID - Type UnspecifiedMEDICARE-PUBLIC HEALTH