| Family Health Network Of Central New York, Inc | |
| 
					711 Railroad St De Ruyter NY 13052-9700  | |
| (315) 852-3400 | |
| (607) 662-4916 | 
| Full Name | Family Health Network Of Central New York, Inc | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 711 Railroad St, De Ruyter, New York | 
| Authorized Official Name and Position | Kimberly Osborne (CEO) | 
| Authorized Official Contact | 6077533797 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Family Health Network Of Central New York, Inc 85 S West St Homer NY 13077-1542 Ph: (607) 753-3797  | Family Health Network Of Central New York, Inc 711 Railroad St De Ruyter NY 13052-9700 Ph: (315) 852-3400  | 
| NPI Number | 1407508708 | 
|---|---|
| Provider Enumeration Date | 01/19/2022 | 
| Last Update Date | 01/19/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407508708 | NPI | - | NPPES | 
| 00474144 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |