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CH02087D NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC (Active)
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Main Details
Name
NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC
Subdivision Name
Mexico Health Services Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011544
340B ID
CH02087D
Grant Number
H80CS00166
Additional Details
Current Program Status
Active
Registration Date
1/6/2013
Participating Start Date
1/24/2013
Participating Approval Date
1/14/2013
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
5856 Scenic Drive
Mexico, NY 13114-3013
Billing Address
ConnextCare
61 Delano Street
Pulaski, NY 13142
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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