| 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 |