Moravia Health Center | |
23 Central St Moravia NY 13118-3427 | |
(315) 497-9066 | |
(315) 497-3836 |
Full Name | Moravia Health Center |
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Speciality | Clinic/Center |
Location | 23 Central St, Moravia, New York |
Authorized Official Name and Position | Kimberly Osborne (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6077533797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Moravia Health Center 85 South West Street Homer NY 13077-0000 Ph: (607) 753-3797 | Moravia Health Center 23 Central St Moravia NY 13118-3427 Ph: (315) 497-9066 |
NPI Number | 1588895197 |
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Provider Enumeration Date | 07/30/2009 |
Last Update Date | 01/12/2022 |
Medicare PECOS PAC ID | 2668385014 |
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Medicare Enrollment ID | O20140107000009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588895197 | NPI | - | NPPES |
331882 | Other | NY | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Health Network Dental Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Central St, Moravia, NY 13118 Phone: 607-344-0052 Fax: 607-344-0056 |