SYRACUSE COMMUNITY HEALTH CENTER INC. (NPI# 1538321344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538321344 |
| Entity Type | Organization |
| Organization Name | SYRACUSE COMMUNITY HEALTH CENTER INC. |
| Practice Address |
603 Oswego St Syracuse NY 13204-3127 |
| Mailing Address |
819 S Salina St Syracuse NY 13202-3527 |
| Practice Telephone | 3154767921 |
| Mailing Telephone | 3154767921 |
| 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 |
| 1366604175 | Syracuse Community Health Center Inc. | Clinic/Center | 1938 E Fayette St, Syracuse, NY 13210-1339 | 2008-07-02 |
| Street Address |
603 OSWEGO ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992714117 | Shailaja Potdar | Pediatrics | 603 Oswego St, Syracuse, NY 13204-3127 | 2006-08-05 |
| 1679827141 | Linda N Runge | Dental Hygienist | 603 Oswego St, Syracuse, NY 13204-3127 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| 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 |
| 1366604175 | Syracuse Community Health Center Inc. | Clinic/Center | 1938 E Fayette St, Syracuse, NY 13210-1339 | 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 |
| 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.