Organization
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYRACUSE COMMUNITY HEALTH CENTER, INC.
Authorized official
DERRICK MURRY (EVP/COO)
(315) 234-5942
Entity
Organization
Contact information
Practice address
819 SOUTH SALINA STREET, SYRACUSE, NY 13202
(315) 476-7921
(315) 475-1448
Mailing address
819 SOUTH SALINA STREET, SYRACUSE, NY 13202
(315) 476-7921
(315) 475-1448
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474204
—
NY
05
—
03003876
—
NY
Enumeration date
08/29/2018
Last updated
08/29/2018
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