| The Salvation Army - Sas | |
|
677 South Salina Street Syracuse NY 13202 | |
| (315) 479-5168 | |
| (315) 475-6307 |
| Full Name | The Salvation Army - Sas |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 677 South Salina Street, Syracuse, New York |
| Authorized Official Name and Position | Richard Douglas Allen (ASSISTANT SECRETARY -LEGAL) |
| Authorized Official Contact | 8456207330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Salvation Army - Sas 440 West Nyack Road Po Box C-635 West Nyack NY 10994-1739 Ph: (845) 620-7200 | The Salvation Army - Sas 677 South Salina Street Syracuse NY 13202 Ph: (315) 479-5168 |
| NPI Number | 1205031598 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205031598 | NPI | - | NPPES |
| 01085487 | Medicaid | NY | |
| 02702523 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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