Wayne Community Health Center | |
1519 Nye Rd Lyons NY 14489-9133 | |
(315) 871-3178 | |
(844) 683-9216 |
Full Name | Wayne Community Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1519 Nye Rd, Lyons, New York |
Authorized Official Name and Position | Lisa Olscamp (CFO) |
Authorized Official Contact | 5853252280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wayne Community Health Center 1519 Nye Rd Lyons NY 14489-9133 Ph: (315) 871-3178 | Wayne Community Health Center 1519 Nye Rd Lyons NY 14489-9133 Ph: (315) 871-3178 |
NPI Number | 1780010975 |
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Provider Enumeration Date | 09/19/2013 |
Last Update Date | 09/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780010975 | NPI | - | NPPES |
00618199 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |