| Southern Tier Community Health Center Network, Inc. | |
|
445 Broad St Salamanca NY 14779-1424 | |
| (716) 375-7500 | |
| (716) 806-1287 |
| Full Name | Southern Tier Community Health Center Network, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 445 Broad St, Salamanca, New York |
| Authorized Official Name and Position | Gail S Mayeaux (CEO) |
| Authorized Official Contact | 7167016831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tier Community Health Center Network, Inc. 135 N Union St # 716 Olean NY 14760-2736 Ph: (716) 375-7500 | Southern Tier Community Health Center Network, Inc. 445 Broad St Salamanca NY 14779-1424 Ph: (716) 375-7500 |
| NPI Number | 1457895765 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 3375513724 |
|---|---|
| Medicare Enrollment ID | O20170227000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457895765 | NPI | - | NPPES |
| 02587231 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0401201R (New York) | Primary |
Seneca Nation Of Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-242-6345 | |
Olean Medical Group Partnership Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 449 Broad St, Salamanca, NY 14779 Phone: 716-945-4770 Fax: 716-945-2393 | |
Olean Medical Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 449 Broad St, Salamanca, NY 14779 Phone: 716-945-4770 | |
Family Practice Associates Of Cattaraugus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 449 Broad St, Salamanca, NY 14779 Phone: 716-945-4770 Fax: 716-945-2393 | |
Salamance Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4039 Route 219, Suite 102, Salamanca, NY 14779 Phone: 716-945-3000 | |
Seneca Nation Of Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-242-6345 |