| Cincinnatus Health Center | |
|
2805 Cincinnatus Road Cincinnatus NY 13040-0199 | |
| (607) 863-4126 | |
| (607) 863-3455 |
| Full Name | Cincinnatus Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2805 Cincinnatus Road, Cincinnatus, New York |
| Authorized Official Name and Position | Kimberly Osborne (CEO) |
| Authorized Official Contact | 6077533797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cincinnatus Health Center 85 South West Street Homer NY 13077-0000 Ph: (607) 753-3797 | Cincinnatus Health Center 2805 Cincinnatus Road Cincinnatus NY 13040-0199 Ph: (607) 863-4126 |
| NPI Number | 1659654101 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 01/12/2022 |
| Medicare PECOS PAC ID | 2668385014 |
|---|---|
| Medicare Enrollment ID | O20100908001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659654101 | NPI | - | NPPES |
| 331837 | Other | NY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Health Network Of Central New York, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Cincinnatus Rd, Cincinnatus, NY 13040 Phone: 607-863-3200 Fax: 607-662-4917 |