SYRACUSE COMMUNITY HEALTH CENTER INC. (NPI# 1366604175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366604175 |
| Entity Type | Organization |
| Organization Name | SYRACUSE COMMUNITY HEALTH CENTER INC. |
| Practice Address |
1938 E Fayette St Syracuse NY 13210-1339 |
| Mailing Address |
819 S Salina St Syracuse NY 13202-3527 |
| Practice Telephone | 3154767921 |
| Practice Fax Number | 3152345987 |
| Mailing Telephone | 3154767921 |
| Mailing Fax Number | 3152345987 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | GERALD A ALBRIGO (DIRECTOR OF FINANCE) |
| 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 |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00474204 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265694079 | Syracuse Community Health Center Inc. | Clinic/Center | 120 Gifford St, Syracuse, NY 13202-2341 | 2008-07-02 |
| 1538321344 | Syracuse Community Health Center Inc. | Clinic/Center | 603 Oswego St, Syracuse, NY 13204-3127 | 2008-07-02 |
| Street Address |
1938 E FAYETTE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265694079 | Syracuse Community Health Center Inc. | Clinic/Center | 120 Gifford St, Syracuse, NY 13202-2341 | 2008-07-02 |
| 1861563561 | Holdings,llc | Clinic/Center | 550 Harrison St Ste 230, Syracuse, NY 13202-3064 | 2006-11-13 |
| 1508898321 | Central New York Services.inc. | Clinic/Center | 375 W Onondaga St, Suite 23, Syracuse, NY 13202-3280 | 2006-07-06 |
| 1407325095 | Community Birth Group | Clinic/Center | 1859 W 2175 S, Syracuse, UT 84075-8567 | 2018-11-13 |
| 1023501590 | Laura Sullivan | Clinic/Center | 321 W Onondaga St, Syracuse, NY 13202-3207 | 2018-06-11 |
| 1285126581 | Roberta A Root | Clinic/Center | 321 W Onondaga St, Syracuse, NY 13202-3262 | 2018-06-01 |
| 1841727252 | Central New York Services, Inc | Clinic/Center | 518 James St, Suite240, Syracuse, NY 13203-2238 | 2017-05-16 |
| 1184974529 | Suny Healthscience Center At Syracuse | Clinic/Center | 750 East Adams Street, Syracuse, NY 13210-2306 | 2012-09-13 |
| 1538321344 | Syracuse Community Health Center Inc. | Clinic/Center | 603 Oswego St, Syracuse, NY 13204-3127 | 2008-07-02 |
| 1942341532 | St. Camillus Residential Health Care Facility | Clinic/Center | 813 Fay Rd, Syracuse, NY 13219-3009 | 2007-02-08 |
| Find all providers in SYRACUSE | ||||
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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.