Provider Demographics
NPI:1528011632
Name:ONEIDA HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:ONEIDA HEALTH SYSTEMS, INC.
Other - Org Name:ONEIDA HEALTHCARE CENTER ECF
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOERNIG
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MBA, FACHE
Authorized Official - Phone:315-363-6000
Mailing Address - Street 1:323 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2611
Mailing Address - Country:US
Mailing Address - Phone:315-363-6000
Mailing Address - Fax:315-361-2043
Practice Address - Street 1:323 GENESEE ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2611
Practice Address - Country:US
Practice Address - Phone:315-363-6000
Practice Address - Fax:315-361-2043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2601001N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00314094Medicaid
NY00314094Medicaid