Valley Family Health Center | |
55 Central Plz Suite B Ilion NY 13357-1701 | |
(315) 444-1900 | |
Not Available |
Full Name | Valley Family Health Center |
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Speciality | Clinic/Center |
Location | 55 Central Plz, Ilion, New York |
Authorized Official Name and Position | Lisa Olscamp (CFO) |
Authorized Official Contact | 5853252280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Family Health Center 55 Central Plz Suite B Ilion NY 13357-1701 Ph: () - | Valley Family Health Center 55 Central Plz Suite B Ilion NY 13357-1701 Ph: (315) 444-1900 |
NPI Number | 1528428208 |
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Provider Enumeration Date | 02/24/2016 |
Last Update Date | 05/05/2022 |
Medicare PECOS PAC ID | 4385826585 |
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Medicare Enrollment ID | O20110309000547 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528428208 | NPI | - | NPPES |
00618199 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
Provider Name | Thomas J Durham |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639454101 PECOS PAC ID: 3971557836 Enrollment ID: I20050303000869 |
Provider Name | Cynthia L Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518912641 PECOS PAC ID: 0244298834 Enrollment ID: I20110701000014 |
Provider Name | Elizabeth M Checola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326334590 PECOS PAC ID: 2163692732 Enrollment ID: I20110909002593 |
Provider Name | Michelle M Wisniewski |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1649610122 PECOS PAC ID: 3870805211 Enrollment ID: I20150629000398 |
Provider Name | Kristin A Burns |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548515323 PECOS PAC ID: 2163670704 Enrollment ID: I20150812008522 |
Provider Name | Samantha Glarner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477966703 PECOS PAC ID: 9234359969 Enrollment ID: I20160727001284 |
Provider Name | Marian E Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063863470 PECOS PAC ID: 6901194497 Enrollment ID: I20161017001619 |
Provider Name | Hannah D Monk |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194073551 PECOS PAC ID: 4486904729 Enrollment ID: I20180906001743 |
Provider Name | Jonathan R Mizgala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164968434 PECOS PAC ID: 9739459587 Enrollment ID: I20180919001139 |
Provider Name | Julie Ann Gaetano-carter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346720174 PECOS PAC ID: 9931449261 Enrollment ID: I20190322000648 |
Provider Name | Mona L Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164083259 PECOS PAC ID: 2860720547 Enrollment ID: I20190819002838 |
Provider Name | Rachel Andrello |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124675103 PECOS PAC ID: 8921437963 Enrollment ID: I20200326002319 |
Provider Name | Philip Edward Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235124702 PECOS PAC ID: 8426469487 Enrollment ID: I20201123001702 |
Provider Name | Sara Parnell |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669032850 PECOS PAC ID: 6002220241 Enrollment ID: I20210128002244 |
Provider Name | Hillary Joan Forbes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972950889 PECOS PAC ID: 7719385095 Enrollment ID: I20211018002797 |
Provider Name | Lee Bernard Lande |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407581903 PECOS PAC ID: 3476924382 Enrollment ID: I20230131002625 |
Provider Name | Nora Salanger Hug |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972060481 PECOS PAC ID: 5294180022 Enrollment ID: I20231013000454 |
Provider Name | Jessica Reiser Frazo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275695983 PECOS PAC ID: 0143670703 Enrollment ID: I20231221002779 |