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FINGER LAKES MIGRANT HEALTH CARE PROJECT INC. NPI 1114198819


NPI Information

NPI: 1114198819
Provider Name: FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
60 MAIN ST.
PORT BYRON, NY
ZIP 13140
Phone: (315) 776-9700
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FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC. is a federally qualified health center (fqhc) clinic center in Port Byron, NY. FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC. NPI is 1114198819. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

60 MAIN ST.
PORT BYRON, NY
ZIP 13140-359
Phone: (315) 776-9700
Fax: (315) 776-9700

The provider's authorized official is Terri L Mueller .
The authorized official title is Billing Manager and has the following contact phone number (315) 531-9102.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 11/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
21223G0001XDentistGeneral PracticeNo
3171M00000XCase Manager/Care CoordinatorNo
4207Q00000XFamily MedicineNo
5261QA0005XClinic/CenterAmbulatory Family Planning FacilityNo
6261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102619881MEDICAIDNEW YORK
2BA0726MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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