| Family Health Network Of Central New York, Inc | |
|
20 East Main Street Marathon NY 13803-0448 | |
| (607) 849-3271 | |
| (607) 849-6357 |
| Full Name | Family Health Network Of Central New York, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 East Main Street, Marathon, New York |
| Authorized Official Name and Position | Kimberly Osborne (CEO) |
| Authorized Official Contact | 6077533797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Network Of Central New York, Inc 85 South West Street Homer NY 13077-0000 Ph: (607) 753-3797 | Family Health Network Of Central New York, Inc 20 East Main Street Marathon NY 13803-0448 Ph: (607) 849-3271 |
| NPI Number | 1114158276 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 01/10/2022 |
| Medicare PECOS PAC ID | 2668385014 |
|---|---|
| Medicare Enrollment ID | O20140106001494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114158276 | NPI | - | NPPES |
| 331862 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
Sbhc- Marathon Jr/sr High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 East Main Street, Marathon, NY 13803 Phone: 607-849-3900 Fax: 607-662-4918 | |
Family Health Network Of Central New York, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Albro Rd, Marathon, NY 13803 Phone: 607-849-3180 |