Organization
COUNTY OF CHAUTAUQUA - A MUN CORP
Active
Parent organization
COUNTY OF CHAUTAUQUA - A MUN CORP
Other names
Chautauqua County Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF CHAUTAUQUA - A MUN CORP
Authorized official
ANDREA SNYDER RN (ADMINISTRATOR)
(716) 366-6400
Entity
Organization
Contact information
Practice address
10836 TEMPLE RD, DUNKIRK, NY 14048-9611
(716) 366-6400
(716) 366-0114
Mailing address
10836 TEMPLE RD, DUNKIRK, NY 14048-9611
(716) 366-6400
(716) 366-0114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0601300N
NY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011468501
SENIOR CHOICE
NY
01
—
001000303
BLUE CROSS/BLUE SHIELD
NY
05
—
00475145NY
—
NY
01
—
010052508
RAILROAD MEDICARE
NY
01
—
5S
INDEPENDENT HEALTH
NY
Enumeration date
06/28/2005
Last updated
04/22/2014
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