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Finger Lakes Community Health

Organization Active NPI Federally Qualified Health Center (FQHC) · Sodus, NY

NPI 1669568465 · NPPES record last updated Feb 5, 2026

Key facts

NPI
1669568465
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
FINGER LAKES COMMUNITY HEALTH
Practice address
6341 Ridge Rd
Sodus, NY 14551-9743
Phone
(315) 531-9102
Fax
(315) 531-9103
NPI assigned
Oct 5, 2006
Organization subpart
No

Authorized official

Name
Mary Ann Zelazney
Title
Ceo
Phone
(315) 531-9102

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Subparts reporting this organization as parent 7

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 6

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

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NY

Federally qualified health center certification: CCN 331070

Legal name
FINGER LAKES COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 27, 2013
Last certification
Jun 27, 2013
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jan 26, 2000
Enrollment address
6341 Ridge Rd
Sodus, NY 14551-9743

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martin Davis
Individual 		Corporate Director
Treasurer - Executive Board Member		 Apr 1, 2017
Mary Jo Dudley
Individual 		Corporate Officer
Board Member		 Jan 1, 2013 100%
Mary a Zelazny
Individual 		Corporate Officer
Ceo		 Aug 31, 2006 100%
Michele L Dahl
Individual 		W-2 Managing Employee Jan 1, 2012 100%
Rosario Jaramillo
Individual 		Corporate Director
Board Member		 Jul 1, 2013
Nolberto Jaramillo
Individual 		Corporate Director
Board Member		 Feb 1, 2018
Jamie Wetherall
Individual 		Corporate Officer
Cfo		 Jan 1, 2024
W-2 Managing Employee
Cfo		 Jan 1, 2024
Lawreen Duel
Individual 		W-2 Managing Employee
Director of Operations		 Nov 1, 2011 100%
Susan K Loughnane
Individual 		Corporate Officer
Vice Chair		 May 1, 2010 100%
Linda D Fox
Individual 		Corporate Director
Board Member		 Jul 1, 2008 100%
Brett Fontaine
Individual 		Corporate Director
Vice Chair		 Apr 23, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20051215000087 NY Part B Supplier - Clinic/Group Practice 0244251486 Receives reassigned benefits from 49 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Port Byron, NY; Sodus, NY; Penn Yan, NY; Ovid, NY; Newark, NY; Geneva, NY; Dundee, NY; Bath, NY
O20130626000863 NY Part a Provider - Federally Qualified Health Center (FQHC) 0244251486 Practice locations: Sodus, NY

National Provider Directory

Tax ID family
Finger Lakes Migrant Health (7 organizations share this tax ID)

Locations

6890 County Route 113
Bath, NY 14810
Phone (607) 776-3063

7150 Main St
Ovid, NY 14521
Phone (607) 403-0065

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 171M00000X
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207Q00000X
Ambulatory Family Planning Facility 261QA0005X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

6341 Ridge Rd
Sodus, NY 14551-9743

Mailing address

14 Maiden LN
PO Box 423
Penn Yan, NY 14527-1208
Phone (315) 531-9102

Other practice location 1

3 School Dr
Penn Yan, NY 14527-1081
Phone (315) 924-6050

Other identifiers

IdentifierTypeStateIssuer
02619881MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 5, 2026.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1669568465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAIDEN LN",
            "address_2": "PO BOX 423",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271208",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 RIDGE RD",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519743",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 School Dr",
            "address_purpose": "LOCATION",
            "city": "Penn Yan",
            "state": "NY",
            "postal_code": "145271081",
            "country_code": "US",
            "telephone_number": "315-924-6050",
            "fax_number": "315-781-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FINGER LAKES COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "ZELAZNEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-531-9102"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02619881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sodus, NY

All providers in Sodus, NY · Federally Qualified Health Center (FQHC) in New York

Sources for this page

Verify at the official NPI Registry.