1386397511 NPI number — FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC

Table of content: (NPI 1386397511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386397511 NPI number — FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386397511
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
85 S WEST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOMER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13077-1542
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-753-3797
Provider Business Mailing Address Fax Number:
607-753-6677

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 EAST MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARATHON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13803-3208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-849-3900
Provider Business Practice Location Address Fax Number:
607-662-4918
Provider Enumeration Date:
01/28/2022

Additional Information

Authorized Official

Authorized Official Last Name:
OSBORNE
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
607-753-3797

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00474144 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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