Organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Active
Parent organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Other names
SBHC- Marathon Jr/Sr High School
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Authorized official
KIMBERLY OSBORNE (CEO)
(607) 753-3797
Entity
Organization
Contact information
Practice address
1 EAST MAIN STREET, MARATHON, NY 13803-3208
(607) 849-3900
(607) 662-4918
Mailing address
85 S WEST ST, HOMER, NY 13077-1542
(607) 753-3797
(607) 753-6677
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474144
—
NY
Enumeration date
01/28/2022
Last updated
02/03/2022
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