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ELSIE OWENS HEALTH CENTER
NPI 1437418456
Clinic/Center - Federally Qualified Health Center (FQHC) in Coram, NY

Active since May 11, 2012CLIA 33D2063274 · Waiver
82 MIDDLE COUNTRY RD, CORAM, NY 11727(631) 320-2220(631) 320-2236 Get Directions Write a Review

NPPES record last updated: March 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2022, May 2, 2018 (2 updates tracked since 2018).

About Elsie Owens Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELSIE OWENS HEALTH CENTER (NPI 1437418456) is a healthcare organization registered as a federally qualified health center (fqhc) in Coram, New York and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Adam Lipton, Vp Info/practice Mgmt Systems, as its authorized official.

NPPES Registry Identity

NPI1437418456
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSUN RIVER HEALTH INC
Location Address82 MIDDLE COUNTRY RDCoram, NY 11727-4460
Mailing AddressPo Box 5036White Plains, NY 10602-5036 · (914) 734-8800 · Fax (914) 734-8786
Phone(631) 320-2220
Fax(631) 320-2236
Organization SubpartYes
Authorized OfficialAdam LiptonVp Info/practice Mgmt Systems · (914) 384-2375
Enumeration DateMay 11, 2012
Last NPPES UpdateMarch 13, 20222 updates tracked since enumeration
NPPES CertifiedMarch 13, 2022
✔ NPI 1437418456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase ManagementTaxonomy 251B00000X
82 MIDDLE COUNTRY RD, Coram, NY 11727
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Other Names 1

Other NameElsie Owens Health Center

Other Identifiers 1

Medicaid00473038NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2063274

Sun River Health Coram Elsie Owens Health Center · Coram, NY
Active · expires Mar 26, 2027
CLIA Number33D2063274
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 5, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Amanda F. Ascher
Laboratory Phone(631) 320-2220
Laboratory LocationSun River Health Coram Elsie Owens Health Center82 Middle Country Road, Coram, NY 11727
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN HAMILL NP
Nurse Practitioner
82 MIDDLE COUNTRY RD, ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727
Suffolk County (631) 320-2200
CHRISTINA M. FIGUEROA
Dietitian, Registered
82 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (631) 320-2220
MRS. KATELIN SWAIN PA-C
Physician Assistant
82 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (631) 320-2220
MRS. JANET AUDREY STONE NP, CNM
Nurse Practitioner
82 MIDDLE COUNTRY RD, ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727
Suffolk County (631) 320-2220
DR. MUHAMMAD UMAID SIDDIQUI MD
Family Medicine
82 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (844) 400-1975
MILOSLAVA ANDRST MD
Family Medicine
82 MIDDLE COUNTRY RD, ELSIE OWENS NORTH BROOKHAVEN HEALTH CENTER
CORAM, NY 11727
Suffolk County (631) 854-2301
GRETCHEN PACHECO-STABILE DPM
Podiatrist
82 MIDDLE COUNTRY RD, ELSIE OWEN HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727
Suffolk County (631) 320-2220
MRS. KAYLA MARIE LEBOHNER PA
Physician Assistant
82 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (631) 574-2580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sun River Health Inc's NPI number?

The NPI number for Sun River Health Inc is 1437418456. It was assigned to this organization in the NPPES registry on May 11, 2012. The provider is also known as Elsie Owens Health Center.

Where is Sun River Health Inc located?

Sun River Health Inc is located at 82 Middle Country Rd, Coram, NY 11727. The listed phone number is (631) 320-2220.

What is Sun River Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Sun River Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2063274) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sun River Health Inc was last updated on March 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.