ROCHESTER PRIMARY CARE NETWORK, INC (NPI# 1780010975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780010975 |
Entity Type | Organization |
Organization Name | ROCHESTER PRIMARY CARE NETWORK, INC |
Other Organization Name | WAYNE COMMUNITY HEALTH CENTER |
Practice Address |
1519 Nye Rd Lyons NY 14489-9133 |
Practice Telephone | 8775546805 |
Enumeration Date | 2013-09-19 |
Last Update Date | 2019-01-16 |
Authorized Official Name | LISA OLSCAMP (CFO) |
Authorized Official Telephone | 5853252280 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00618199 | 05 |
Other Name | Type Code |
---|---|
Wayne Community Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134693708 | Rochester Primary Care Network, Inc | Clinic/Center | 3 Parkside Ct Bldg 1, Utica, NY 13501-5643 | 2019-01-17 |
1598073777 | Rochester Primary Care Network, Inc | Clinic/Center | 1 Murray Hill Dr, Building #1, Room 140, Mount Morris, NY 14510-1153 | 2010-09-21 |
1952962748 | Rochester Primary Care Network, Inc | Clinic/Center | 3 Parkside Ct Bldg 1, Utica, NY 13501-5643 | 2019-06-24 |
1528428208 | Rochester Primary Care Network, Inc | Clinic/Center | 55 Central Plz, Suite B, Ilion, NY 13357-1701 | 2016-02-24 |
1649587627 | Rochester Primary Care Network, Inc | Clinic/Center | 1651 Oneida St, Utica, NY 13501-4723 | 2010-09-11 |
1912225236 | Rochester Primary Care Network, Inc | Clinic/Center | 2 Rubin Dr, Rushville, NY 14544-9681 | 2010-05-11 |
Street Address |
1519 NYE RD |
City | LYONS |
State | NY |
Zip Code | 14489-9133 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396777132 | Janine Quinlan | Nurse Practitioner | 1519 Nye Rd, Wayne Behavioral Network Suite 1000, Lyons, NY 14489-9133 | 2006-07-06 |
1376186171 | Jean Adrienne Crandon-hoe | Registered Nurse | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-10-24 |
1053978296 | Alannah Sliwoski Dehond | Social Worker | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-05-23 |
1508423906 | Alexandra Katchmar | Social Worker | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-05-22 |
1154988673 | Rachel Noone | Registered Nurse | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-05-20 |
1891350864 | Lori Ann Carr | Registered Nurse | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-05-06 |
1184180176 | Katelyn Elizabeth King | Social Worker | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-02-14 |
1194281196 | Justin Scott Emerling | Social Worker | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-02-14 |
1710443718 | Sharifa Constantine | Social Worker | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-02-14 |
1548726516 | Michael Patrick Shea | Social Worker | 1519 Nye Rd, Lyons, NY 14489-9133 | 2019-02-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730645623 | Tracy Merlau | Social Worker | Wbhn, 1519 Nye Road, Suite 110, Lyons, NY 14489 | 2019-02-15 |
1871069005 | Mary P. Hutchings | Licensed Practical Nurse | 1489 Jackson Road, Lyons, NY 14489 | 2018-10-15 |
1235501529 | Connie Sue Fuller | Registered Nurse | 2104 Maple Street Rd, Lyons, NY 14489 | 2015-10-26 |
1033480645 | Kathleen R Hayes | Registered Nurse | 10 Clyde Rd., Lyons, NY 14489 | 2012-01-13 |
1871878751 | Amy H Smith | Psychologist | 1519 Nye Raod, Lyons, NY 14489 | 2011-10-11 |
1588996169 | Faith Erica Mcdonald | Licensed Practical Nurse | 12 Jacksn St, Apt 2, Lyons, NY 14489 | 2010-02-05 |
1255463261 | Nicole Jennifer Yager | Counselor | Wayne Behavioral Heatlh Network, 1519 Nye Road, Lyons, NY 14489 | 2007-03-12 |
1154466639 | Debra Lee Woodworth Fiori | Counselor | Wayne Behavioral Health Netowork, 1519 Nye Road, Lyons, NY 14489 | 2007-02-21 |
1124163829 | Joan M Kovachi | Registered Nurse | Wayne Behavioral Health Network, 1519 Nye Road, Lyons, NY 14489 | 2007-02-20 |
1306932645 | Kimberly F Mccaffrey | Speech-Language Pathologist | 159 Montezuma Street, Lyons, NY 14489 | 2006-10-05 |
Find all providers in zip 14489 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 |
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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.