Provider Demographics
NPI:1043247471
Name:LORETTO-OSWEGO HEALTH AND REHABILITATION CENTER
Entity type:Organization
Organization Name:LORETTO-OSWEGO HEALTH AND REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-342-2440
Mailing Address - Street 1:132 ELLEN ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3946
Mailing Address - Country:US
Mailing Address - Phone:315-342-2440
Mailing Address - Fax:315-342-3170
Practice Address - Street 1:132 ELLEN ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-3946
Practice Address - Country:US
Practice Address - Phone:315-342-2440
Practice Address - Fax:315-342-3170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3702314N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00320049Medicaid
NYBA0696Medicare PIN