Organization
MEDICAID OBSTETRICAL AND MATERNAL SERVICES
Active
Parent organization
CORTLAND COUNTY HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORTLAND COUNTY HEALTH DEPARTMENT
Authorized official
MRS. CATHERINE FEUERHERM RN, MSN (PUBLIC HEALTH DIRECTOR)
(607) 753-5135
Entity
Organization
Contact information
Practice address
60 CENTRAL AVE, CORTLAND COUNTY HEALTH DEPARTMENT, CORTLAND, NY 13045-2746
(607) 753-5135
(607) 753-5209
Mailing address
60 CENTRAL AVE, CORTLAND COUNTY HEALTH DEPARTMENT, CORTLAND, NY 13045-2746
(607) 753-5135
(607) 753-5209
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00365559
—
NY
Enumeration date
07/20/2005
Last updated
07/12/2012
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