Provider Demographics
NPI:1962550343
Name:SCHOHARIE COUNTY
Entity type:Organization
Organization Name:SCHOHARIE COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMMUNITY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:518-295-8407
Mailing Address - Street 1:113 PARK PL
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SCHOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:12157-5205
Mailing Address - Country:US
Mailing Address - Phone:518-295-2026
Mailing Address - Fax:
Practice Address - Street 1:113 PARK PL
Practice Address - Street 2:SUITE 1
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157-5205
Practice Address - Country:US
Practice Address - Phone:518-295-2026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02164414Medicaid