SENECA COUNTY HEALTH DEPARTMENT


Address: 2465 Bonadent Dr. Suite 3, Waterloo, NY 13165
Phone: 3155391920

SENECA COUNTY HEALTH DEPARTMENT (NPI# 1497852875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497852875
Entity Type Organization
Organization Name SENECA COUNTY HEALTH DEPARTMENT
Practice Address 2465 Bonadent Dr. Suite 3
Waterloo
NY 13165
Practice Telephone 3155391920
Practice Fax Number 3155399493
Mailing Telephone 3155391920
Mailing Fax Number 3155399493
Enumeration Date 2006-09-20
Last Update Date 2018-02-01
Authorized Official Name MRS. VICKIE SWINEHART (DIRECTOR OF PUBLIC HEALTH)
Authorized Official Telephone 3155391920
Authorized Official Credential R.N.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management 1239L001 NY Agencies
N 251K00000X Public Health or Welfare Agencies
N 252Y00000X Early Intervention Provider Agency 1239L001 NY Agencies
Y 251300000X Local Education Agency (LEA) 1239L001 NY Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NY 00355862 05
NY 00355399 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1588809636 Seneca County Health Department Case Management 2465 Bonadent Dr. Suite 3, Waterloo, NY 13165 2008-12-03
1952512725 Seneca County Health Department Early Intervention Provider Agency 31 Thurber Dr, Waterloo, NY 13165-1600 2007-05-24

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SENECA COUNTY HEALTH DEPARTMENT 79 S Washington St, Tiffin, OH 44883-2351

Office Location

Street Address 2465 BONADENT DR. SUITE 3
City WATERLOO
State NY
Zip Code 13165

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588809636 Seneca County Health Department Case Management 2465 Bonadent Dr. Suite 3, Waterloo, NY 13165 2008-12-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497284848 Mary Reese Registered Nurse 31 Thurber Drive, Waterloo, NY 13165 2017-06-08
1841738788 Kristina Marie Metz Counselor 31 Thurber Dr., Waterloo, NY 13165 2017-02-10
1902273675 Elisabeth Rouse Licensed Practical Nurse 21 Oak St Apt A., Waterloo, NY 13165 2015-08-28
1164773735 Stephen Frederick Hartman Dentist 107 North Virginia Street, Waterloo, NY 13165 2012-09-24
1417204355 Ute E Gallert Nurse Practitioner 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 2012-08-09
1770803918 Shelley Reeland Massage Therapist 1388 Rt 96 N, Waterloo, NY 13165 2010-06-10
1275856031 Yecham Kumaraswamy Pharmacist 1963 Route 5&20 Street, Waterloo, NY 13165 2010-03-09
1801128632 David Edward Janack Pharmacist 1860 North Road, Waterloo, NY 13165 2010-02-04
1336476753 Laura Jane Miccuci Pharmacist 1963 Routes 5 & 20, Waterloo, NY 13165 2009-11-05
1528203759 Joanne Farula Corey Speech-Language Pathologist 2932 Rt. 96, Waterloo, NY 13165 2008-12-02
Find all providers in zip 13165

Taxonomy Information

Taxonomy Code 251300000X
Grouping Agencies
Classification Local Education Agency (LEA)

Taxonomy Definition

The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831666932 Tiffany Williams Local Education Agency (LEA) 2465 Bonadent Dr Ste 3, Waterloo, NY 13165-4111 2018-10-26
1356435069 Waterloo Comm Local Education Agency (LEA) 200 N Rogers, Waterloo, IL 62298 2006-10-03
1275712804 Waterloo School District Local Education Agency (LEA) 813 N Monroe St, Waterloo, WI 53594-1171 2007-10-31
1518019868 Waterloo Community School District Local Education Agency (LEA) 1516 Washington St, Waterloo, IA 50702-1639 2007-01-17
1679630909 Waterloo Csd Local Education Agency (LEA) 109 Washington St, Waterloo, NY 13165-1835 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528666161 Jenice Nicolette Gill-richardson Local Education Agency (LEA) 33 Elizabeth St, Staten Island, NY 10310-1933 2020-10-15
1205440468 Cheryl Mindi Lachant Local Education Agency (LEA) 8 Elizabeth Ln, New Windsor, NY 12553-7202 2020-09-04
1114544228 Rina Veras Local Education Agency (LEA) 2156 Cruger Ave Apt 5a, Bronx, NY 10462-1623 2020-07-06
1588288120 You Can Thrive Foundation Local Education Agency (LEA) 535 W 23rd St Apt S8r, New York, NY 10011-1124 2020-05-29
1689207425 Westchester Independent Living Center Local Education Agency (LEA) 1441 Route 22 Ste 204, Brewster, NY 10509-4358 2020-02-20
1710529201 Marcia Joan Meshel Local Education Agency (LEA) 5809 246th Cres, Douglaston, NY 11362-2053 2019-10-16
1770130163 Ching Ha Jenny Wu Local Education Agency (LEA) 6811 15th Ave, Brooklyn, NY 11219-6310 2019-08-21
1437704418 Boquet Valley Central School Local Education Agency (LEA) 25 Sisco St, Westport, NY 12993 2019-08-06
1124672993 Josh Pesin Local Education Agency (LEA) 239 Bay 34th St Apt 1e, Brooklyn, NY 11214-5896 2019-07-30
1649738261 Innovative Lifestyle Solutions Local Education Agency (LEA) 2013 Chestnut St, North Baldwin, NY 11510-2539 2019-03-04
Find all providers with the same taxonomy

Competitor

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City WATERLOO
Zip Code 13165

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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