SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK INC. NPI 1457895765

NPI Information

SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC. is a federally qualified health center (fqhc) clinic center in Salamanca, NY. SOUTHERN TIER COMMUNITY HEALTH CENTER NETWORK, INC. NPI is 1457895765. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Universal Primary Care.

The provider's business location address is:

445 BROAD ST
SALAMANCA, NY
ZIP 14779-424
Phone: (716) 375-7500
Fax: (716) 806-1287

The provider's authorized official is Gail S Mayeaux .
The authorized official title is Ceo and has the following contact phone number (716) 701-6831.

The CLIA number assigned to this NPI record is 33D0960590 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2016 and was last updated on 2/9/2017.

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:

Other Identifiers

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

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