Organization · Type 2 NPI

Northern Oswego County Health Services, Inc.

Community Health Clinic/Center · Fulton, NY

NPI number 1891195095 Active

Practice location

510 S 4th St, Suite 600
Fulton, NY 13069-2904

Fax (315) 593-6195

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

15 other providers at this address

NPI record

NPI: 1891195095
Entity type: Organization (Type 2)
Issued: Aug 26, 2014
Last updated: Jul 7, 2021
Status: Active
Subpart: Yes of Northern Oswego County Health Services, Inc.

Other names

<unavail>
Fulton Health Center · other name
Fulton Health Center · other name

Authorized official

Tracy Lynne Wimmer
Sr. VP/cfo
(315) 298-6569

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 1891195095

Northern Oswego County Health Services, Inc.'s National Provider Identifier is 1891195095, issued on Aug 26, 2014. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Fulton, NY. The record was last updated on Jul 7, 2021.