Provider Demographics
NPI:1801873351
Name:SCHOHARIE COUNTY HEALTH DEPT.
Entity type:Organization
Organization Name:SCHOHARIE COUNTY HEALTH DEPT.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIPP-HILTS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:518-295-8365
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:SCHOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:12157
Mailing Address - Country:US
Mailing Address - Phone:518-295-8365
Mailing Address - Fax:518-295-8786
Practice Address - Street 1:284 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157
Practice Address - Country:US
Practice Address - Phone:518-295-8365
Practice Address - Fax:518-295-8786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 252Y00000X, 251J00000X, 251K00000X, 251B00000X
NY4724200R251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No252Y00000XAgenciesEarly Intervention Provider Agency
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473547Medicaid
NY337083Medicaid
NY00473730Medicaid
NY4724600OtherDEPT OF HEALTH
NY337083Medicaid
NY00473730Medicaid