Organization · Type 2 NPI

Family Health Network of Central New York, Inc

Federally Qualified Health Center (FQHC) · De Ruyter, NY

NPI number 1407508708 Active

Practice location

711 Railroad St
De Ruyter, NY 13052-9700

Call (315) 852-3400 Map

Fax (607) 662-4916

Mailing address

85 S West St
Homer, NY 13077-1542

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Deborah Warner, NPFamily Nurse Practitioner De Ruyter, NY NPI 1790763142
Jamie Mody, M.A., CCC-SLPSpeech-Language Pathologist De Ruyter, NY NPI 1073939005
Sandra Louise Hathaway, RNSchool Registered Nurse De Ruyter, NY NPI 1225377666

NPI record

NPI: 1407508708
Entity type: Organization (Type 2)
Issued: Jan 19, 2022
Last updated: Jan 19, 2022
Status: Active
Subpart: Yes of Family Health Network of Central New York, Inc

Other names

Sbhc-Deruyter Central School · doing business as

Authorized official

Kimberly Osborne
CEO
(607) 753-3797

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407508708

Family Health Network of Central New York, Inc's National Provider Identifier is 1407508708, issued on Jan 19, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in De Ruyter, NY. The record was last updated on Jan 19, 2022.