SYRACUSE COMMUNITY HEALTH CENTER NPI 1184886988

NPI Information

NPI: 1184886988
Provider Name: SYRACUSE COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 33D0725195

Address:
2561 ROUTE 11 NORTH
LA FAYETTE, NY
ZIP 13084
Phone: (315) 476-7921
Get Directions

SYRACUSE COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in La Fayette, NY. SYRACUSE COMMUNITY HEALTH CENTER NPI is 1184886988. The provider is registered as an organization entity type.

The provider's business location address is:

2561 ROUTE 11 NORTH
LA FAYETTE, NY
ZIP 13084-583
Phone: (315) 476-7921

The provider's authorized official is Carol A O'connor .
The authorized official title is Billing Manager and has the following contact phone number (315) 476-7921.

The CLIA number assigned to this NPI record is 33D0725195 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 11/9/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	No
2	261QC1500X	Clinic/Center	Community Health	No
3	261QF0400X	Clinic/Center	Federally 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00474204	MEDICAID	NEW YORK
2	331935	MEDICARE OSCAR/CERTIFICATION	NEW 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: 5/5/2024

NPI Synchronization or Removal

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