Provider Demographics
NPI:1598166670
Name:NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.
Other - Org Name:MEXICO SCHOOL BASED HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATERNITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-298-6569
Mailing Address - Street 1:16 FRAVOR RD
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:NY
Mailing Address - Zip Code:13114-3011
Mailing Address - Country:US
Mailing Address - Phone:315-963-8400
Mailing Address - Fax:315-298-7831
Practice Address - Street 1:16 FRAVOR RD
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:NY
Practice Address - Zip Code:13114-3011
Practice Address - Country:US
Practice Address - Phone:315-963-8400
Practice Address - Fax:315-298-7831
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health