FAMILY HEALTH NETWORK DENTAL OFFICE (NPI# 1992086698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992086698 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH NETWORK DENTAL OFFICE |
| Practice Address |
23 Central St Moravia NY 13118-3427 |
| Mailing Address |
85 South West Street Homer NY 13077-0000 |
| Practice Telephone | 6073440052 |
| Practice Fax Number | 6073440056 |
| Mailing Telephone | 6077533797 |
| Mailing Fax Number | 6077536677 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | KIMBERLY OSBORNE (CEO) |
| Authorized Official Telephone | 6077533797 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Street Address |
23 CENTRAL ST |
| City | MORAVIA |
| State | NY |
| Zip Code | 13118-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973575 | Daniel F Karn | Physician Assistant | 23 Central St, Moravia, NY 13118-3427 | 2005-06-24 |
| 1538443114 | Jenny Ellen Ross | Nurse Practitioner | 23 Central St, Moravia, NY 13118-3427 | 2011-09-30 |
| 1588895197 | Family Health Network of Central New York, Inc | Clinic/Center | 23 Central St, Moravia, NY 13118-3427 | 2009-07-30 |
| 1831379783 | Catherine Impastato Keating | Family Medicine | 23 Central St, Moravia, NY 13118-3427 | 2007-11-08 |
| 1356409817 | Ashley Yonsook Ki | Dentist | 23 Central St, Moravia, NY 13118-7709 | 2006-12-05 |
| 1922022839 | Kimberlie Poole | Nurse Practitioner | 23 Central St, Moravia, NY 13118-3427 | 2006-07-26 |
| 1427013622 | Shannon Denise Presley-dickens | Dentist | 23 Central St, Moravia, NY 13118-3427 | 2006-04-19 |
| 1689652174 | Nita J. Stormann | Nurse Practitioner | 23 Central St, Moravia, NY 13118-3427 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144508581 | Susanne Mary Jayne | Licensed Practical Nurse | 3410 White Road, Moravia, NY 13118 | 2011-08-03 |
| 1710094990 | Kph Healthcare Services, Inc. | Pharmacy | 130 Main Street, Moravia, NY 13118 | 2006-08-24 |
| 1700210648 | Heather Cameron | Licensed Practical Nurse | 108 Main Street, Apt 1, Moravia, NY 13118 | 2013-08-28 |
| 1316269178 | Janet H Wilde | Pharmacist | 130 Main Street, Moravia, NY 13118 | 2010-02-22 |
| 1467690750 | Patricia W. Shenk | Nursing Home Administrator | 8 South Main Street, Moravia, NY 13118 | 2009-01-26 |
| 1720262975 | Bonnie Steger | Pharmacist | 130 Main Street, Moravia, NY 13118 | 2007-12-24 |
| 1649424607 | Kristy Riel Powers | Licensed Practical Nurse | 5305 Dresserville Road, Moravia, NY 13118-0405 | 2008-11-04 |
| 1134526205 | Tammie S Bush | Licensed Practical Nurse | 5437 Sayles Corners Rd, Moravia, NY 13118-2259 | 2014-12-04 |
| 1679635726 | Susan Lipinoga | Physical Therapist | 8 Van Pelt Ln, Moravia, NY 13118-2306 | 2006-12-15 |
| 1710173455 | Amanda S Worden | Speech-Language Pathologist | 24 S Main St, Moravia, NY 13118-2307 | 2007-09-17 |
| Find all providers in zip 13118 | ||||
| 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 |
|---|---|---|---|---|
| 1588895197 | Family Health Network of Central New York, Inc | Clinic/Center | 23 Central St, Moravia, NY 13118-3427 | 2009-07-30 |
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| 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.