Provider Demographics
NPI:1992926802
Name:COUNTY OF CHESTER
Entity type:Organization
Organization Name:COUNTY OF CHESTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NFP COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-344-6459
Mailing Address - Street 1:601 WESTTOWN RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4958
Mailing Address - Country:US
Mailing Address - Phone:610-344-6459
Mailing Address - Fax:610-344-6727
Practice Address - Street 1:601 WESTTOWN RD
Practice Address - Street 2:SUITE 180
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4958
Practice Address - Country:US
Practice Address - Phone:610-344-6459
Practice Address - Fax:610-344-6727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007655340030Medicaid