Organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Active
Organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Active
Parent organization
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Other names
Cincinnatus Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC
Authorized official
MR. KIMBERLY OSBORNE (CEO)
(607) 753-3797
Entity
Organization
Contact information
Practice address
2805 CINCINNATUS ROAD, CINCINNATUS, NY 13040-0199
(607) 863-4126
(607) 863-3455
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
—
331837
MEDICARE PTAN
NY
Enumeration date
09/21/2011
Last updated
01/12/2022
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