Organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Active
Parent organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Other names
SBHC-DeRuyter Central 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
711 RAILROAD ST, DE RUYTER, NY 13052-9700
(315) 852-3400
(607) 662-4916
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
01/19/2022
Last updated
01/19/2022
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