Organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Active
Parent organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Other names
Moravia Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Authorized official
KIMBERLY OSBORNE (EXECUTIVE DIRECTOR)
(607) 753-3797
Entity
Organization
Contact information
Practice address
23 CENTRAL ST, MORAVIA, NY 13118-3427
(315) 497-9066
(315) 497-3836
Mailing address
85 SOUTH WEST STREET, HOMER, NY 13077-0000
(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
01
—
331882
MEDICARE PTAN
NY
Enumeration date
07/30/2009
Last updated
01/12/2022
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