NPIMap

Organization Active NPI

Upstate Family Health Center, Inc. Kernan SBHC

  • Clinic/Center
  • Utica, NY
National Provider Identifier
1689112922
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UPSTATE FAMILY HEALTH CENTER, INC. KERNAN SBHC
Practice address
929 York St
Utica, NY 13502-3929
Phone
(315) 624-9470
Fax
(315) 624-9480
NPI assigned
Feb 7, 2017
Last updated
Feb 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Wanda M Schmidt
Title
Operations Manager
Phone
(315) 624-9470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

929 York St
Utica, NY 13502-3929

Mailing address

1001 Noyes St
Utica, NY 13502-4400
Phone (315) 368-6777

National Provider Directory

National Provider Directory
Tax ID family
Upstate Family Health Center Incorporated5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1689112922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NOYES ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024400",
            "telephone_number": "315-368-6777",
            "fax_number": "315-223-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 YORK ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023929",
            "telephone_number": "315-624-9470",
            "fax_number": "315-624-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE FAMILY HEALTH CENTER, INC. KERNAN SBHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "315-624-9470"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.