Organization
ONEIDA INDIAN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN WATERMAN (REVENUE CYCLE MANAGER)
(315) 829-8716
Entity
Organization
Contact information
Practice address
2057 DREAM CATCHER PLZ, ONEIDA, NY 13421-2729
(315) 829-8700
(315) 829-8730
Mailing address
2057 DREAM CATCHER PLZ, ONEIDA, NY 13421-2729
(315) 829-8700
(315) 829-8730
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01705682
—
NY
Enumeration date
07/07/2005
Last updated
03/06/2023
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