Provider Demographics
NPI:1245874726
Name:OSWEGO COUNTY OPPORTUNITIES, INC.
Entity type:Organization
Organization Name:OSWEGO COUNTY OPPORTUNITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER-CURRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-598-4717
Mailing Address - Street 1:74 PIERCE DR
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-4921
Mailing Address - Country:US
Mailing Address - Phone:315-598-4713
Mailing Address - Fax:315-598-1219
Practice Address - Street 1:74 PIERCE DR
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-4921
Practice Address - Country:US
Practice Address - Phone:315-598-4713
Practice Address - Fax:315-598-1219
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSWEGO COUNTY OPPORTUNITIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01486497Medicaid