| Oswego County Opportunities, Inc. | |
|
522 S 4th St Suite 500 Fulton NY 13069-2946 | |
| (315) 598-4740 | |
| (315) 598-4728 |
| Full Name | Oswego County Opportunities, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 522 S 4th St, Fulton, New York |
| Authorized Official Name and Position | Diane Cooper-currier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3155984717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oswego County Opportunities, Inc. 239 Oneida St Fulton NY 13069-1228 Ph: (315) 598-4715 | Oswego County Opportunities, Inc. 522 S 4th St Suite 500 Fulton NY 13069-2946 Ph: (315) 598-4740 |
| NPI Number | 1740396324 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 03/20/2019 |
| Medicare PECOS PAC ID | 0749176436 |
|---|---|
| Medicare Enrollment ID | O20040227000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740396324 | NPI | - | NPPES |
| 00387811 | Medicaid | NY | |
| 01271154 | Medicaid | NY | |
| 01304943 | Medicaid | NY |
| Provider Name | Heather M Shannon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790775005 PECOS PAC ID: 3274591128 Enrollment ID: I20041227000160 |
| Provider Name | Lisa Sousou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255449948 PECOS PAC ID: 6002930187 Enrollment ID: I20100826000007 |
Mohamed Ahmed Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 S 1st St, Fulton, NY 13069 Phone: 315-598-5921 Fax: 315-598-5921 | |
Fastcare Family Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Cayuga St, Fulton, NY 13069 Phone: 315-598-8224 Fax: 315-598-8339 | |
Fulton Family Medicine Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 Canalview Mall, Fulton, NY 13069 Phone: 315-532-8049 | |
Dr Angelo Porcari Medical Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 S 4th St, Fulton, NY 13069 Phone: 315-598-5373 Fax: 315-598-2304 | |
Rural Infectious Disease Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 S 4th St Ste 1700, Fulton, NY 13069 Phone: 877-279-3511 Fax: 585-625-3855 | |
Fulton Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S 4th St, Suite 600, Fulton, NY 13069 Phone: 315-598-4790 Fax: 315-593-6195 |