Syracuse Community Health Center, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SYRACUSE COMMUNITY HEALTH CENTER, INC.

Practice address

819 South Salina Street
Syracuse, NY 13202

Phone

(315) 476-7921

Fax

(315) 475-1448

NPI assigned

Aug 29, 2018

Last updated

Aug 29, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SYRACUSE COMMUNITY HEALTH CENTER, INC.As reported in NPPES

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

Authorized official

Name

Derrick Murry

Title

Evp/Coo

Phone

(315) 234-5942

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Syracuse Community Heal

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Syracuse Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Syracuse, NY
  • NPI 1497796353
  NPPES parent name

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1851873640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SOUTH SALINA STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SOUTH SALINA STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYRACUSE COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "MURRY",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "EVP/COO",
        "authorized_official_telephone_number": "315-234-5942"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03003876",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syracuse City School District
• Syracuse City School District
• Syracuse Community Health
• Syracuse Community Health Center
• Syracuse Community Health Center, Inc.
• Syracuse Community Health Pharmacy LLC
• Syracuse Community Health Pharmacy LLC
• Syracuse Community Pharmacy
• Syracuse Dental Associates PLLC
• Syracuse Dental Smile Design, PC

• Case Management Agency in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.