| Family Health Network Of Central New York, Inc | |
|
23 Central St Moravia NY 13118-3427 | |
| (315) 497-9066 | |
| (315) 497-3836 |
| Full Name | Family Health Network Of Central New York, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23 Central St, Moravia, New York |
| Authorized Official Name and Position | Kimberly Osborne (EXECUTIVE DIRECTOR) |
| 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 23 Central St Moravia NY 13118-3427 Ph: (315) 497-9066 |
| NPI Number | 1588895197 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 01/12/2022 |
| Medicare PECOS PAC ID | 2668385014 |
|---|---|
| Medicare Enrollment ID | O20140107000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588895197 | NPI | - | NPPES |
| 331882 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Health Network Dental Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Central St, Moravia, NY 13118 Phone: 607-344-0052 Fax: 607-344-0056 |