NPIMap

Organization Active NPI

Tioga County Health Department

  • Public Health or Welfare Agency
  • Owego, NY
National Provider Identifier
1114078268
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
53234200R Issued in NY
Legal business name
TIOGA COUNTY HEALTH DEPARTMENT
Practice address
1062 State Rte 38
Owego, NY 13827-0120
Phone
(607) 687-8600
Fax
(607) 687-2916
NPI assigned
Jan 16, 2007
Last updated
Nov 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
TIOGA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Denis G McCann
Title
Director of Administrative Services
Phone
(607) 687-8604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 53234200R NY Primary

Addresses

Primary practice location

1062 State Rte 38
Owego, NY 13827-0120

Mailing address

1062 State Rte 38
Owego, NY 13827-0120
Phone (607) 687-8600

Other identifiers 1

IdentifierTypeStateIssuer
00356294MedicaidNY

Other names 1

  • Dental Van Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000539 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6709786916 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owego, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tioga Cnty Dgnstc Trtmn13 organizations share this tax ID, including this one
Part of
Tioga Cnty Dgnstc Trtmn

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

405 Pennsylvania Ave
Rm 124
Apalachin, NY 13732

74 Owego Rd
Candor, NY 13743
Phone (607) 687-8600

2 Sheldon Guile Blvd
Owego, NY 13827
Phone (607) 687-6261

145 Elm St
Rm 114B
Waverly, NY 14892

32 Ithaca St
Ste 200
Waverly, NY 14892
Phone (607) 687-4000

80 Spring St
Waverly, NY 14892
Phone (607) 687-8600

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1114078268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 STATE RTE 38",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138270120",
            "telephone_number": "607-687-8600",
            "fax_number": "607-687-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 STATE RTE 38",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138270120",
            "telephone_number": "607-687-8600",
            "fax_number": "607-687-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIOGA COUNTY",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "607-687-8604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NY",
            "license": "53234200R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Van",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.