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CH020870 NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC (Active)
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Main Details
Name
NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC
Subdivision Name
NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000251
340B ID
CH020870
Grant Number
H80CS00166
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/3/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
ConnextCare
Tracy Lynne Wimmer, Sr VP CFO
(315) 298-6569 Ext: 2020
Primary Contact
Northern Oswego County Health Services, Inc.
Amanda Jo Wood, Director of Finance
(315) 298-6569 Ext: 2006
Addresses
Street Address
61 Delano St
Pulaski, NY 13142-1400
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 10/01/2004
09/03/2004
April 2025
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