| Northern Oswego County Health Services, Inc. | |
|
3045 East Ave Central Square NY 13036-2611 | |
| (315) 298-6569 | |
| Not Available |
| Full Name | Northern Oswego County Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3045 East Ave, Central Square, New York |
| Authorized Official Name and Position | Tracy Lynne Wimmer (VP/CFO) |
| Authorized Official Contact | 3152986569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Oswego County Health Services, Inc. 61 Delano St Pulaski NY 13142-1400 Ph: (315) 298-6569 | Northern Oswego County Health Services, Inc. 3045 East Ave Central Square NY 13036-2611 Ph: (315) 298-6569 |
| NPI Number | 1558945402 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558945402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Lifetime Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3045 East Avenue, Central Square Health Center, Central Square, NY 13036 Phone: 315-676-2935 Fax: 315-671-6976 |