Organization Active NPI

Northern Oswego County Health Services, Inc.

  • Community Health Clinic/Center
  • Oswego, NY
National Provider Identifier
1235904160
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.
Practice address
1 Buccaneer Blvd
Oswego, NY 13126-1953
Phone
(315) 341-2700
NPI assigned
Nov 21, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alisha Crisp
Title
Credentialing Specialist
Phone
(315) 298-6564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

1 Buccaneer Blvd
Oswego, NY 13126-1953

Mailing address

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6568

Other names 1

  • Frederick Leighton Elementary School Based Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
E H Pierce Health Cente17 organizations share this tax ID, including this one
Part of
E H Pierce Health Cente

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1235904160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6568",
            "fax_number": "315-298-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUCCANEER BLVD",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261953",
            "telephone_number": "315-341-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "315-298-6564"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Leighton Elementary School Based Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.