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Organization
TIOGA COUNTY
Active
Organization
TIOGA COUNTY
Active
Parent organization
TIOGA COUNTY
Other names
Tioga County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIOGA COUNTY
Authorized official
MR. DENIS MCCANN (DIRECTOR OF ADMINISTRATIVE SERVICES)
(607) 687-8604
Entity
Organization
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
(607) 687-8600
(607) 687-8636
Mailing address
1062 STATE ROUTE 38, P. O. BOX 120, OWEGO, NY 13827-3209
(607) 687-8600
(607) 687-8636
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5324600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00321866
—
NY
05
—
00356294
—
NY
05
—
00888019
—
NY
05
—
01457785
—
NY
01
—
10037920PPPP
CDPHP PROVDER #
NY
01
—
33-7075
BCCNY PROVIDER #
NY
01
—
922904
MVP PROVIDER ID #
NY
Enumeration date
11/14/2005
Last updated
11/28/2012
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