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NPI Code Detail

MEDICARE: SYRACUSE COMMUNITY HEALTH CENTER, INC.

MEDICARE: SYRACUSE COMMUNITY HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497796353
Entity Type Code : Organization
Provider Name (Legal Business Name) : SYRACUSE COMMUNITY HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 930 S SALINA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13202-3530
Country : US
Telephone Number : 315-476-7921
Fax Number : 315-234-5987
Provider Business Practice Location Address
First Line : 930 S SALINA ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13202-3530
Country : US
Telephone Number : 315-476-7921
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF REVENUE CYCLE MANAGMENT
Name : MRS. KERRI D WARNER
Credential :
Telephone Number : 315-476-7921
Provider Enumeration Date : 06/09/2006
Last Update Date : 06/05/2024

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Directions to “SYRACUSE COMMUNITY HEALTH CENTER, INC. ” Practice Location

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