# NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558945402
- **Authorized official:** TRACY LYNNE WIMMER (VP/CFO)
- **Authorized official phone:** (315) 298-6569

## Contact information

- **Practice address:** 3045 EAST AVE, CENTRAL SQUARE, NY 13036-2611
- **Practice address phone:** (315) 298-6569
- **Mailing address:** 61 DELANO ST, PULASKI, NY 13142-1400
- **Mailing address phone:** (315) 298-6569
- **Mailing address fax:** (315) 298-7488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2021
- **Last updated:** 05/07/2021