SYRACUSE COMMUNITY HEALTH CENTER (NPI# 1184886988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184886988 |
| Entity Type | Organization |
| Organization Name | SYRACUSE COMMUNITY HEALTH CENTER |
| Practice Address |
2561 Route 11 North La Fayette NY 13084-9583 |
| Mailing Address |
819 S. Salina Street Syracuse NY 13202 |
| Practice Telephone | 3154767921 |
| Mailing Telephone | 3154767921 |
| Mailing Fax Number | 3154751448 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | CAROL A O'CONNOR (BILLING MANAGER) |
| Authorized Official Telephone | 3154767921 |
| Is Organization Subpart | Y |
| Parent Organization Name | SYRACUSE COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00474204 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275813842 | Syracuse Community Health Center | Clinic/Center | 819 S Salina St, Syracuse, NY 13202-3527 | 2011-08-26 |
| Street Address |
2561 ROUTE 11 NORTH |
| City | LA FAYETTE |
| State | NY |
| Zip Code | 13084-9583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1710230677 | Walter Thomas Gilsdorf | Orthopaedic Surgery | 2026 Skyhigh Rd., Lafayette, NY 13084 | 2012-10-17 |
| 1447498027 | Stephen Paul Sheffield | Dentist | 2509 Us Route 11, Maher Bldg., La Fayette, NY 13084 | 2009-02-04 |
| 1326167685 | Arnold Robert Baum | Dentist | 2509 Route11 Maher Building, Lafayette, NY 13084 | 2007-03-28 |
| 1114043619 | David Matthew Hanas | Massage Therapist | 6050 Route Us 20, Lafayette, NY 13084 | 2007-03-22 |
| 1255469052 | Lafayette Central School District | Local Education Agency (LEA) | 5957 Route 20 West, Lafayette, NY 13084 | 2007-03-01 |
| 1538200639 | Lafayette Family Optometry Pllc | Optometrist | 6157 Rt 20 E, Lafayette, NY 13084 | 2007-02-09 |
| 1912079286 | Lafayette Ambulance Department Inc. | Ambulance | 2444 Rte 11 South, Lafayette, NY 13084 | 2006-11-14 |
| 1336220409 | Donna Deanne Coty | Chiropractor | 2471 Us 11, Lafayette Chiropractic Center, Lafayette, NY 13084 | 2006-10-17 |
| 1811005739 | Connie D Marion | Registered Nurse | 5967 Cherry Valley Road, Lafayette, NY 13084 | 2006-08-29 |
| Find all providers in zip 13084 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356715452 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 87 S Burnt Mill Rd, La Fayette, GA 30728-4263 | 2015-11-30 |
| 1235505678 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 87 S Burnt Mill Rd, La Fayette, GA 30728-4263 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1518581297 | Cornerstone Family Healthcare | Clinic/Center | 290 Broadway Ste 2&3, Newburgh, NY 12550-5441 | 2020-05-29 |
| 1871128371 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-03-05 |
| 1184263485 | Urban Health Plan, Inc. | Clinic/Center | 271 E 138th St, Bronx, NY 10454-2909 | 2020-01-03 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1245886753 | Care for The Homeless | Clinic/Center | 91 Junius St, Brooklyn, NY 11212-8021 | 2019-08-12 |
| 1184186496 | Oda Primary Health Care Network, Inc. | Clinic/Center | 74 Wallabout Street, Brooklyn, NY 11249 | 2019-04-04 |
| 1538621289 | Ezras Choilim Health Center, Inc. | Clinic/Center | 49 Forest Rd Fl 3, Monroe, NY 10950-2923 | 2019-04-02 |
| 1134693708 | Rochester Primary Care Network, Inc | Clinic/Center | 3 Parkside Ct Bldg 1, Utica, NY 13501-5643 | 2019-01-17 |
| 1164994190 | Morris Heights Health Center, Inc. | Clinic/Center | 1 W Burnside Ave, Bronx, NY 10453-4003 | 2019-01-02 |
| Find all providers with the same taxonomy | ||||
| City | LA FAYETTE |
| Zip Code | 13084 |
Please comment or provide details below to improve the information on SYRACUSE COMMUNITY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.