| Deruyter Health Center | |
|
5729 State Route 13 Deruyter NY 13052-0364 | |
| (315) 852-3318 | |
| (315) 852-9997 |
| Full Name | Deruyter Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5729 State Route 13, Deruyter, New York |
| Authorized Official Name and Position | Walter Priest (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6077533797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deruyter Health Center 17 Main St Suite 302 Cortland NY 13045-6606 Ph: (607) 753-3797 | Deruyter Health Center 5729 State Route 13 Deruyter NY 13052-0364 Ph: (315) 852-3318 |
| NPI Number | 1821229139 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821229139 | NPI | - | NPPES |
| 331863 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |