Provider Demographics
NPI:1437333879
Name:OSWEGO COUNTY MENTAL HEALTH
Entity type:Organization
Organization Name:OSWEGO COUNTY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER OF SOCIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:V
Authorized Official - Last Name:LANIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-963-5000
Mailing Address - Street 1:70 BUNNER ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3357
Mailing Address - Country:US
Mailing Address - Phone:315-349-8347
Mailing Address - Fax:315-349-3234
Practice Address - Street 1:1 SPRING STREET
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:NY
Practice Address - Zip Code:13114
Practice Address - Country:US
Practice Address - Phone:315-963-5014
Practice Address - Fax:315-963-5530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00317359251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01427430Medicaid