| Oswego County | |
|
70 Bunner St Oswego NY 13126-3357 | |
| (315) 349-3510 | |
| Not Available |
| Full Name | Oswego County |
|---|---|
| Speciality | Clinic/Center |
| Location | 70 Bunner St, Oswego, New York |
| Authorized Official Name and Position | Vera Dunsmoor (DIRECTOR OF PUBLIC HEALTH) |
| Authorized Official Contact | 3153493595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oswego County 70 Bunner St Oswego NY 13126-3357 | Oswego County 70 Bunner St Oswego NY 13126-3357 Ph: (315) 349-3510 |
| NPI Number | 1861524274 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 5991862120 |
|---|---|
| Medicare Enrollment ID | O20090316000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861524274 | NPI | - | NPPES |
| 00474231 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3702201R (New York) | Primary |
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