County of Chautauqua - a Mun Corp

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0601300N Issued in NY

Legal business name

COUNTY OF CHAUTAUQUA - A MUN CORP

Practice address

10836 Temple Rd
Dunkirk, NY 14048-9611

Phone

(716) 366-6400

Fax

(716) 366-0114

NPI assigned

Jun 28, 2005

Last updated

Apr 22, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNTY OF CHAUTAUQUA - A MUN CORPAs reported in NPPES

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

Authorized official

Name

Andrea Snyder, RN

Title

Administrator

Phone

(716) 366-6400

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Chautauqua County Home Other name

Part of

Chaut Co Dept Mental He

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Chautauqua - a Mun Corp

  dba Chautauqua County Department of Mental Hygiene

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, NY
  • NPI 1902897374

  Member Of

  NPD member

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1790781359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10836 TEMPLE RD",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140489611",
            "telephone_number": "716-366-6400",
            "fax_number": "716-366-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10836 TEMPLE RD",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140489611",
            "telephone_number": "716-366-6400",
            "fax_number": "716-366-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHAUTAUQUA - A MUN CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF CHAUTAUQUA - A MUN CORP",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-366-6400",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "0601300N",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001000303",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010052508",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENIOR CHOICE",
            "identifier": "00011468501",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475145NY",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "5S",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chautauqua County Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Courtney Marie Connors, PT, DPT
• Marcy A Conti, M.S., CCC-SLP
• Kevin J Contino, RPH
• Molly Corsi
• County of Chautauqua - a Mun Corp
• Tiffany Lee Cronin
• Ebony Cruz, LMSW
• Amy J Cully, PHARM D
• Nina Serene Currie
• CVS Albany LLC (CVS Pharmacy 00309)

• Skilled Nursing Facility in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.