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CH02087J Northern Oswego County Health Services, Inc (Active)
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Main Details
Name
Northern Oswego County Health Services, Inc
Subdivision Name
APW High School Based Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001617
340B ID
CH02087J
Grant Number
H80CS00166
Additional Details
Current Program Status
Active
Registration Date
1/6/2013
Participating Start Date
1/14/2013
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
639 County Route 22
Parish, NY 13131
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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