SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
0101000H
Thursday, January 20, 2011
Name
City/Zip
4228
MID-HUDSON HIV CARE CENTER
KINGSTON, 12401
ULSTER
7122
7583
AMCH EXTENSION CLINIC
PHYSICAL MED & REHAB CENTER OF AMCH
ALBANY, 12209
ALBANY, 12208
ALBANY
ALBANY
4674
SLEEPY HOLLOW FAM HLTH URGENT CARE
VALATIE, 12184
COLUMBIA
4816
6099
INTERNAL MEDICINE ASSOCIATES
CAPITAL DISTRICT I M & BARIATRICS
ALBANY, 12204
GUILDERLAND, 12203
ALBANY
ALBANY
6886
NORTHEAST HEALTH IMAGING CENTER
RENSSELAER, 12144
RENSSELAER
2613
3108
SOUTH END COMMUNITY HEALTH CENTER
ST PETERS ADDICTION RECOVERY CENTER
ALBANY, 12202
COHOES, 12047
ALBANY
ALBANY
3218
ST PETERS ADDICTION RECOVERY CENTER
ALBANY, 12206
ALBANY
5924
ST PETER'S RENSSELAER HEALTH CENTER
RENSSELAER, 12144
RENSSELAER
6135
6551
ST PETERS MED ARTS AT SLINGERLANDS
ST PETERS HOSPITAL-SPARC
SLINGERLANDS, 12159
LATHAM, 12110
ALBANY
ALBANY
6552
ST PETERS HOSPITAL-SPARC
ALBANY, 12202
ALBANY
6553
6554
ST PETERS HOSPITAL-SPARC
ST PETERS HOSPITAL-SPARC
BALLSTON, 12020
ROTTERDAM, 12303
SARATOGA
SCHENECTADY
7629
CAP REGION SLEEP WAKE DISORDERS CTR
ALBANY, 12205
ALBANY
8549
ST. PETER'S CARDIAC REHAB CENTER
ALBANY, 12203
ALBANY
8609
ALBANY, 12205
ALBANY
8610
ST. PETER'S AMYOTROPHIC LATERAL SCLEROSIS REGIONAL
CENTER
ST PETERS DENTAL & CHILDRENS HEALTH CLINIC
ALBANY, 12203
ALBANY
0102001H
6082
EDDY SENIORCARE
SCHENECTADY, 12305
SCHENECTADY
0228000H
3118
JONES MEM HOSP HEALTH CARE CLINIC
WELLSVILLE, 14895
ALLEGANY
6339
JONES MEMORIAL HEALTHCARE CENTER
BELMONT, 14813
ALLEGANY
6591
6828
JONES HOSPITAL HEALTHCARE CLINIC
JONES MEMORIAL HOSP PRIMARY CARE CTR
WELLSVILLE, 14895
ANDOVER, 14806
ALLEGANY
STEUBEN
9031
JONES MEMORIAL MEDICAL PRACTICE
WELLSVILLE, 14895
ALLEGANY
3580
4645
LOURDES WELLNESS CENTER
LOURDES CENTER FOR FAMILY HEALTH
VESTAL, 13850
BINGHAMTON, 13905
BROOME
BROOME
5508
LOURDES PRIMARY CARE
BINGHAMTON, 13905
BROOME
5929
NORTHERN TIOGA CTR-FAMILY HLTH
RICHFORD, 13835
BROOME
5958
5959
OWEGO FAMILY PRACTICE
ASSOCIATES IN FAMILY MEDICINE
OWEGO, 13827
VESTAL, 13850
BROOME
BROOME
6061
PRIMARY CARE ASSOCIATES EASTSIDE
BINGHAMTON, 13904
BROOME
7241
7606
PRIMARY CARE ASSOCIATES SOUTH SIDE
PRIMARY CARE ASSOCIATES
BINGHAMTON, 13903
ENDICOTT, 13760
BROOME
BROOME
0101003H
0101004H
0301001H
County
7639
PRIMARY CARE ASSOCIATES
JOHNSON CITY, 13790
BROOME
7812
LOURDES FAMILY HEALTH FRONT ST
BINGHAMTON, 13905
BROOME
8583
8584
HANCOCK FAMILY PRACTICE
LOURDES REHAB SERVICES-ENDWELL
HANCOCK, 13783
ENDWELL, 13760
BROOME
BROOME
9003
SLEEP DISORDERS LAB AT LOURDES HOSPITAL
VESTAL, 13850
BROOME
9140
LOURDES PRIMARY MEDICAL CARE AT WHITNEY POINT
WHITNEY POINT, 13862
BROOME
Page 1 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
0303001H
9145
WILSON PLACE AMBULATORY SURGERY CENTER
JOHNSON CITY, 13790
BROOME
0986
1289
WINDSOR-FAMILY CARE CENTER
DEPOSIT FAMILY CARE CENTER
WINDSOR, 13865
DEPOSIT, 13754
BROOME
BROOME
3555
CANDOR FAMILY CARE CENTER
CANDOR, 13743
TIOGA
6027
CLINTON STREET FAMILY CARE CENTER
BINGHAMTON, 13905
BROOME
6053
6054
ROOSEVELT ELEMENTARY SCHOOL
FRANKLIN ELEMENTARY SCHOOL
BINGHAMTON, 13901
BINGHAMTON, 13903
BROOME
BROOME
6781
UHSH RENAL CARE CENTER
BINGHAMTON, 13903
BROOME
6797
7276
CYBERKNIFE CENTER OF NEW YORK
NORTHERN TIOGA FAMILY CARE CTR
JOHNSON CITY, 13790
NEWARK VALLEY, 13811
BROOME
BROOME
7779
BINGHAMTON FAMILY CARE CENTER(IM)
BINGHAMTON, 13903
BROOME
6103
6980
OGH SALAMANCA CLINIC
OGH SLEEP DISORDER CENTER
SALAMANCA, 14779
OLEAN, 14760
CATTARAUGUS
CATTARAUGUS
8616
PRIMARY CARE EXT CLINIC - PACE
OLEAN, 14760
CATTARAUGUS
9024
THE MILDRED MILLIMAN RADIATION CENTER OF OLEAN GENERAL
HOSPITAL
OLEAN, 14760
CATTARAUGUS
3982
CONEWANGO VALLEY MED CTR
CHAUTAUQUA
5719
6794
TCH CHEMICAL DEPENDENCY CLINIC
TRI-COUNTY MEDICAL OFFICE
CONEWANGO VALLEY,
14726
CASSADAGA, 14718
FORESTVILLE, 14062
CHAUTAUQUA
CHAUTAUQUA
8531
CHARLES CANNON CLINIC
DERBY, 14047
CATTARAUGUS
0501000H
4810
6258
FINGERLAKES MEDICAL CARE CENTER
URGENT MEDICAL CARE OF SKANEATELES
AUBURN, 13021
SKANEATELES, 13152
CAYUGA
ONONDAGA
0601000H
3760
BROOKS MEMORIAL HOSPITAL
DUNKIRK, 14048
CHAUTAUQUA
0602001H
7570
9169
DUNKIRK HEALTH CENTER
WCA CENTER FOR ORTHOPEDICS, SPORTS MEDICINE AND
REHABILITATION SERVICE
DUNKIRK, 14048
JAMESTOWN, 14701
CHAUTAUQUA
CHAUTAUQUA
0632000H
6632
WMH CHAUTAUQUA CLINIC
CHAUTAUQUA, 14722
CHAUTAUQUA
0701000H
3453
HEALTH CENTER FOR WOMEN
ELMIRA, 14905
CHEMUNG
6471
ARNOT HEALTH O/P EXT CLINIC
HORSEHEADS, 14845
CHEMUNG
7845
9143
O/P DIALYSIS CORNING UNIT
ARNOT HEALTH SCHUYLER DIALYSIS
CORNING, 14830
MONTOUR FALLS, 14865
STEUBEN
SCHUYLER
0401001H
0427000H
0701001H
City/Zip
County
4414
PRIMARY CARE OUTPATIENT CLINIC
ELMIRA, 14901
CHEMUNG
4502
7714
BIG FLATS PRIMARY CARE
SOUTHPORT INTERNAL MEDICINE
BIG FLATS, 14814
ELMIRA, 14904
CHEMUNG
CHEMUNG
8608
ST JOSEPHS KIDNEY CENTER
ELMIRA, 14901
CHEMUNG
Page 2 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
0824000H
4529
FAMILY HEALTH CENTER
OXFORD, 13830
CHENANGO
6002
6506
CMH FAMILY HEALTH CENTER
UNADILLA VALLEY CENTRAL SCHOOLS
SHERBURNE, 13460
NEW BERLIN, 13411
CHENANGO
CHENANGO
6520
OXFORD PRIMARY & HIGH SCHOOL
OXFORD, 13830
CHENANGO
6521
OXFORD MIDDLE SCHOOL
OXFORD, 13830
CHENANGO
6565
6566
NORWICH HIGH SCHOOL
STANFORD J GIBSON PRIMARY SCHOOL
NORWICH, 13815
NORWICH, 13815
CHENANGO
CHENANGO
0901001H
1001000H
County
6567
NORWICH MIDDLE SCHOOL
NORWICH, 13815
CHENANGO
6568
6813
PERRY BROWNE INTERMEDIATE SCHOOL
BAINBRIDGE-GUILFORD CENTRAL SCHOOL
NORWICH, 13815
BAINBRIDGE, 13733
CHENANGO
CHENANGO
CHENANGO
6814
GREENLAWN ELEMENTARY SCHOOL
BAINBRIDGE, 13733
6815
GUILFORD ELEMENTARY SCHOOL
GUILFORD, 13780
CHENANGO
7846
CV STRATTON CENTER FOR THERAPIES
NORWICH, 13815
CHENANGO
4684
PRIMARY MED CARE CLINIC
PLATTSBURGH, 12901
CLINTON
6369
CVPH SPORTS MED&REHAB CTR AT PARC
PLATTSBURGH, 12903
CLINTON
6710
7079
CVPH REHABILITATION/DEGRANDPRE WAY
H K FREEDMAN RENAL CENTER
PLATTSBURGH, 12901
PLATTSBURGH, 12901
CLINTON
CLINTON
7284
CVPH DIAGNOSTIC CENTER
PLATTSBURGH, 12901
CLINTON
7285
9096
CVPH DIALYSIS SATELLITE AT ECH
CVPH MEDICAL CENTER REHABILITATION SERVICES
ELIZABETHTOWN, 12932
PLATTSBURGH, 12901
ESSEX
CLINTON
4865
VALATIE FAMILY CARE & MED REHAB CTR
VALATIE, 12184
COLUMBIA
4896
5975
CALLEN FAMILY CARE CENTER
CHATHAM FAMILY CARE CENTER
COPAKE, 12516
CHATHAM, 12037
COLUMBIA
COLUMBIA
6091
HUDSON VALLEY SURGICAL ASSOCIATES
HUDSON, 12534
COLUMBIA
6092
CMH CENTER CARE
HUDSON, 12534
COLUMBIA
6549
6673
GHENT FAMILY CARE CENTER
CAIRO FAMILY CARE CENTER
GHENT, 12075
CAIRO, 12413
COLUMBIA
GREENE
6685
JEFFERSON HEIGHTS FAMILY CARE CTR
CATSKILL, 12414
GREENE
6793
6799
WINDHAM MEDICAL CARE
CATSKILL FAMILY CARE
HENSONVILLE, 12439
CATSKILL, 12414
GREENE
GREENE
7044
BROADWAY FAMILY CARE CENTER
RED HOOK, 12571
COLUMBIA
7045
MOUNTAINVIEW MEDICAL&CATSKILL WHC
CATSKILL, 12414
COLUMBIA
7557
7591
CAIRO FAMILY CARE
PALATINE FAMILY CARE CENTER
CAIRO, 12413
GERMANTOWN, 12526
COLUMBIA
COLUMBIA
7631
CMH REHABILITATION SERVICES
HUDSON, 12534
COLUMBIA
1101000H
7060
FIRST IN THERAPY
CORTLAND, 13045
CORTLAND
1226701C
3511
MARGARETVILLE FAMILY HEALTH CENTER
MARGARETVILLE, 12455
DELAWARE
4423
ROXBURY HEALTH CENTER
ROXBURY, 12474
DELAWARE
8597
MARGARETVILLE HOSPITAL IN MOTION
MARGARETVILLE, 12455
DELAWARE
1229700C
3425
ROSCOE HEALTH CENTER
ROSCOE, 12776
SULLIVAN
3639
DOWNSVILLE HEALTH CENTER
DOWNSVILLE, 13755
DELAWARE
Page 3 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
1302000H
Thursday, January 20, 2011
Name
City/Zip
County
5659
HYDE PARK CENTRE
POUGHKEEPSIE, 12601
DUTCHESS
6373
6374
SOEASTERN DUTCHESS NEIGHBORHOOD CTR
NOEASTERN DUTCHESS NEIGHBORHOOD CTR
PAWLING, 12564
MILLERTON, 12546
DUTCHESS
DUTCHESS
6375
NOWESTERN DUTCHESS NEIGHBORHOOD CTR
HYDE PARK, 12538
DUTCHESS
6376
SOUTHERN DUTCHESS NEIGHBORHOOD CTR
HOPEWELL JUNCTI, 12533
DUTCHESS
6377
6378
EASTERN DUTCHESS NEIGHBORHOOD CTR
CATHERINE SEEBURGER CTR
DOVER PLAINS, 12522
WASSAIC, 12592
DUTCHESS
DUTCHESS
6379
NOXON RD SENIOR CITIZENS PROGRAM
POUGHKEEPSIE, 12601
DUTCHESS
6380
6381
DUTCHESS COUNTY ARC
REDBROOK DAYHAB
POUGHKEEPSIE, 12603
RED HOOK, 12571
DUTCHESS
DUTCHESS
6382
MILLBROOK DAY HABILITATION PROGRAM
MILLBROOK, 12545
DUTCHESS
6383
CARDINAL HAYES SCHOOL FOR SNC
MILLBROOK, 12545
DUTCHESS
6541
6542
THERAPY CONNECTION AT MODENA
THERAPY CONNECTION AT MILLBROOK
MODENA, 12548
MILLBROOK, 12545
DUTCHESS
DUTCHESS
7810
CENTER FOR COMMUNICATION DISORDERS
POUGHKEEPSIE, 12601
DUTCHESS
6343
5694
FISHSKILL AMB SURG CENTER
ULSTER RADIATION ONCOLOGY CENTER
FISHKILL, 12524
KINGSTON, 12401
DUTCHESS
ULSTER
6344
VASSAR BROS HOSP WOUND CARE CTR
POUGHKEEPSIE, 12601
DUTCHESS
6489
8509
VBH-PHYSICAL THERAPY CLINIC
VASSAR BROS HOSP WOUND CARE CENTER
POUGHKEEPSIE, 12601
POUGHKEEPSIE, 12601
DUTCHESS
DUTCHESS
1327000H
4700
HYDE PARK SATELLITE HEALTH CENTER
HYDE PARK, 12538
DUTCHESS
1401005H
1592
3380
SOUTHERN ERIE CLINICAL SERVICES
DOWNTOWN ALCOHOLISM CLINIC
HAMBURG, 14075
BUFFALO, 14209
ERIE
ERIE
3675
NORTHERN ERIE CLINICAL SERVICES
KENMORE, 14217
ERIE
5968
6039
ECMC OUTER EAST SIDE HEALTH CENTER
EGGERTSVILLE FAMILY HEALTH CENTER
BUFFALO, 14212
EGGERTSVILLE, 14226
ERIE
ERIE
7024
CLEVE-HILL FAMILY HEALTH CENTER
BUFFALO, 14215
ERIE
1401006H
5680
EMERSON YOUNG FAMILY CARE CENTER
BUFFALO, 14204
ERIE
1401008H
4503
EAST AURORA MEDICAL CTR
EAST AURORA, 14052
ERIE
4944
MERCY HEALTH CENTER
BUFFALO, 14204
ERIE
5780
5915
MERCY AMBULATORY CARE CENTER
CHESTNUT RIDGE FAMILY PRACTICE
WEST SENECA, 14224
ORCHARD PARK, 14127
ERIE
ERIE
5955
MERCY OUTPATIENT CLINIC
BUFFALO, 14220
ERIE
7620
OLV FAMILY CARE CENTER
LACKAWANNA, 14218
ERIE
8624
PACE HEALTH CENTER
LACKAWANNA, 14218
ERIE
1401010H
8566
RPCI AMHERST CENTER
WILLIAMSVILLE, 14221
ERIE
1401013H
2577
4649
SISTERS HOSPITAL ALDEN MEDICAL CTR
SAINT VINCENT HEALTH CENTER
ALDEN, 14004
BUFFALO, 14212
ERIE
ERIE
4795
SISTERS HOSPITAL STAR PROGRAM
AMHERST, 14226
ERIE
5690
MAIN-DEPEW MEDICAL OFFICE
BUFFALO, 14214
ERIE
5954
6357
ROCHESTER PATHWAYS
WEST HERTEL ACADEMY
ROCHESTER, 14607
BUFFALO, 14207
MONROE
ERIE
6616
SISTERS ATHLETICARE
AMHERST, 14226
ERIE
6852
6901
PATHWAYS METHADONE
HARVEY AUSTIN SCHOOL #97
BUFFALO, 14214
BUFFALO, 14211
ERIE
ERIE
8592
SOUTHSIDE ELEMENTARY SCHOOL #93
BUFFALO, 14210
ERIE
1302001H
Page 4 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
1401014H
1561
FAMILY PLANNING CENTER
BUFFALO, 14208
ERIE
3825
3971
DEACONESS CENTER ITC
AMHERST EXTENSION CLINIC
BUFFALO, 14208
AMHERST, 14226
ERIE
ERIE
4278
ROBERT WARNER REHABILITATION CENTER
BUFFALO, 14222
ERIE
4292
BACK INSTITUTE OF BUFFALO
WILLIAMSVILLE, 14221
ERIE
4507
4530
CENTER FOR LAB MEDICINE OF MF HOSP
WCHOB CHILD PROTECTION CENTER
AMHERST, 14226
BUFFALO, 14202
ERIE
ERIE
4709
NORTH BUFFALO MEDICAL PARK
BUFFALO, 14216
ERIE
4892
4956
UPPER WEST SIDE FAMILY HEALTH CTR
BUFFALO GENERAL LANCASTER CLINIC
BUFFALO, 14213
LANCASTER, 14086
ERIE
ERIE
5501
HERMAN BADILLO SCHOOL #76
BUFFALO, 14201
ERIE
5507
CHILDRENS AMHERST HEALTH CENTER
AMHERST, 14226
ERIE
6003
6122
STANLEY M MAKOWSKI EARLY CHILDHOOD CTR
KALEIDA HEALTH - STERLING MEDICAL PARK CLINIC
BUFFALO, 14208
ORCHARD PARK, 14127
ERIE
ERIE
6132
JUDGE S MATTINA COMMUNITY HLTH CTR
BUFFALO, 14201
ERIE
6195
6498
LANCASTER PRIMARY CARE
HILLERY PARK ACADEMY #27
LANCASTER, 14043
BUFFALO, 14210
ERIE
ERIE
6801
TOWNE GARDEN PEDIATRIC
BUFFALO, 14206
ERIE
6877
DR LYDIA T WRIGHT SCHOOL
BUFFALO, 14222
ERIE
6878
6879
GROVER CLEVELAND HIGH SCHOOL
SOUTH PARK HIGH SCHOOL
BUFFALO, 14222
BUFFALO, 14222
ERIE
ERIE
7282
WESTMINSTER SCHOOL (SCHOOL 68)
BUFFALO, 14215
ERIE
7540
7542
BENNETT HIGH SCHOOL
BUFFALO ELEMENTARY SCHOOL OF TECHNOLOGY
BUFFALO, 14214
BUFFALO, 14204
ERIE
ERIE
7544
FUTURES ACADEMY #37
BUFFALO, 14204
ERIE
7546
BUILD ACADEMY #91
BUFFALO, 14211
ERIE
7547
9026
MARTIN LUTHER KING #39
KALEIDA DIABETES ENDOCRINOLOGY CENTER OF WNY
BUFFALO, 14211
BATAVIA, 14020
ERIE
GENESEE
9102
DIABETES-ENDOCRINOLOGY CENTER OF WNY - AFFILIATION OF
KALEIDA HEALTH
IRVING, 14081
CHAUTAUQUA
3114
KEN-TON FAMILY CARE
TONAWANDA, 14150
ERIE
9001
WILLIAMSVILLE DIAGNOSTIC CENTER
WILLIAMSVILLE, 14221
ERIE
1455000H
6550
CHS PARTNERS IN REHAB
DEPEW, 14043
ERIE
1552701C
6017
WESTPORT HEALTH CENTER
WESTPORT, 12993
ESSEX
6546
ELIZABETHTOWN COMMUNITY HLTH CTR
ELIZABETHTOWN, 12932
ESSEX
9008
HIGH PEAKS HEALTH CENTER
WILMINGTON, 12997
ESSEX
1404000H
1623001H
1624000H
Name
Thursday, January 20, 2011
City/Zip
County
4767
MOUNTAIN HEALTH CENTER
KEENE, 12942
ESSEX
5972
TUPPER LAKE HEALTH CENTER
TUPPER LAKE, 12986
FRANKLIN
6108
PHYSICAL&OCCUPATIONAL THERAPY DEPT OF REHAB
TUPPER LAKE, 12986
FRANKLIN
6077
DWYER HEALTH CENTER
MOIRA, 12957
FRANKLIN
6078
BESSETTE HEALTH CENTER
CHATEAUGAY, 12920
FRANKLIN
6111
6370
SALMON RIVER HEALTH CENTER
ALLEN TOWER SR HEALTH CTR
FORT COVINGTON, 12937
ST. REGIS, 12980
WYOMING
FRANKLIN
6642
ST REGIS MOHAWK TRIBE HLTH SERVICES
AKWESANE, 13655
FRANKLIN
Page 5 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
Name
1701000H
4449
5562
7043
1801000H
2129700C
2201000H
2238001H
2424000H
2527000H
Thursday, January 20, 2011
City/Zip
County
NATHAN LITTAUER HOSP PRI CARE CLN
GLOVERSVILLE, 12078
FULTON
JOHNSTOWN MEDICAL CENTER
MAYFIELD PRIMARY CARE CENTER
JOHNSTOWN, 12095
MAYFIELD, 12117
FULTON
FULTON
7291
PRIMARY CARE CENTER AT SPECULATOR
SPECULATOR, 12164
FULTON
8561
PERTH-BROADALBIN PRIMARY CARE CENTER
PERTH, 12010
FULTON
8562
9007
STEELE AVENUE PRIMARY CARE CENTER
CAROGA LAKE PRIMARY CARE CENTER
GLOVERSVILLE, 12078
CAROGA LAKE, 12032
FULTON
FULTON
9032
FONCLAIR TERRACE PRIMARY CARE CENTER
JOHNSTOWN, 12095
FULTON
6371
6982
BYRON FAMILY CARE
PEMBROKE DIAGNOSTIC CTR
BYRON, 14422
CORFU, 14026
GENESEE
GENESEE
7516
TOUNTAS DIAGNOSTIC&FAMILY CARE CTR
LEROY, 14482
MONROE
9152
UNITED MEMORIAL MEDICAL CENTER SUMMIT PHYSICAL AND
OCCUPATIONAL THERAP
BATAVIA, 14020
GENESEE
4784
LFH PRIMARY CARE CTR AT DOLGEVILLE
DOLGEVILLE, 13329
HERKIMER
7227
LFH PRIMARY CARE CTR AT NEWPORT
NEWPORT, 13416
HERKIMER
4859
SAMARITAN FAMILY HEALTH CENTER
CLAYTON, 13624
JEFFERSON
4860
SAMARITAN FAMILY HEALTH CENTER
LACONA, 13083
OSWEGO
5903
SAMARITAN FAMILY HEALTH CENTER
WATERTOWN, 13601
JEFFERSON
7602
8510
SAMARITAN MEDICAL PLAZA
SAMARITAN MEDICAL CENTER UROLOGY
WATERTOWN, 13601
WATERTOWN, 13601
JEFFERSON
JEFFERSON
9122
SAMARITAN FAMILY PRACTICE AT LERAY
LE RAY, 13637
JEFFERSON
4478
6682
CAPE VINCENT PRIMARY CARE CENTER
CARTHAGE COMMUNITY DENTAL CENTER
CAPE VINCENT, 13618
CARTHAGE, 13619
JEFFERSON
JEFFERSON
6684
HARRISVILLE CENTRAL SCHOOL
HARRISVILLE, 13648
LEWIS
6690
6790
PHILADELPHIA PHYSICAL THERAPY CLINIC
EVANS MILLS FAMILY HEALTH CENTER
PHILADELPHIA, 13673
EVANS MILLS, 13637
JEFFERSON
JEFFERSON
6818
GUARDINO ELEMENTARY SCHOOL
CLAYTON, 13624
JEFFERSON
6865
HARRISVILLE MEDICAL CENTER
HARRISVILLE, 13648
LEWIS
6873
6889
ADAMS COMMUNITY HEALTH CENTER
SACKETS HARBOR COMMUNITY HLTH CTR
ADAMS, 13605
SACKETS HARBOR, 13685
JEFFERSON
JEFFERSON
6902
CARTHAGE HIGH SCHOOL/MIDDLE SCHOOL
CARTHAGE, 13619
JEFFERSON
6952
6965
BEAVER RIVER CENTRAL SCHOOL
WOMENS WAY TO WELLNESS
BEAVER FALLS, 13305
CARTHAGE, 13619
JEFFERSON
JEFFERSON
9084
CARTHAGE ELEMENTARY SCHOOL
CARTHAGE, 13619
JEFFERSON
9086
LAFARGEVILLE CENTRAL SCHOOL
LAFARGEVILLE, 13656
JEFFERSON
9105
9131
EDWARD-KNOX CENTRAL SCHOOL
CAH MEDICAL BUILDING
RUSSELL, 13684
CARTHAGE, 13619
ST. LAWRENCE
JEFFERSON
4932
BEAVER RIVER HEALTH CENTER
BEAVER FALLS, 13305
LEWIS
4933
SOUTH LEWIS HEALTH CENTER
LYONS FALLS, 13368
LEWIS
4072
MENTAL HEALTH CLINIC
DANSVILLE, 14437
LIVINGSTON
6255
LIVINGSTON HEALTH SERVICE
GENESEO, 14454
GENESEE
7259
8585
AFTER HOURS CARE CENTER
OB-GYN ASSOC OF THE FINGER LAKES
GENESEO, 14454
DANSVILLE, 14437
LIVINGSTON
LIVINGSTON
8591
NOYES CENTER FOR KIDNEY DISEASE & DIALYSIS
GENESEO, 14454
LIVINGSTON
Page 6 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
2601001H
4660
HARDEN BLVD HEALTH CENTER
CAMDEN, 13316
ONEIDA
6517
6529
CHITTENANGO FAMILY CARE
OH WELLNESS&REHABILITATION CTR
CHITTENANGO, 13104
ONEIDA, 13421
MADISON
MADISON
2625000H
2701001H
6832
GORMAN IMAGING CENTER
ONEIDA, 13421
MADISON
7099
CANASTOTA-LENOX HEALTH CENTER
CANASTOTA, 13032
MADISON
7750
FAMILY HEALTH CTRS OF COMM MEM HOSP
MUNNSVILLE, 13409
MADISON
3459
FAMILY HEALTH CTRS OF COMM MEM HOSP
CAZENOVIA, 13035
MADISON
3460
FAMILY HEALTH CTRS OF COMM MEM HOSP
MORRISVILLE, 13408
MADISON
3461
FAMILY HEALTH CTRS OF COMM MEM HOSP
WATERVILLE, 13480
ONEIDA
4131
EAST RIDGE FAMILY MEDICINE
ROCHESTER, 14621
MONROE
4230
DAISY MARQUIS JONES RAD ONOC CENTER
ROCHESTER, 14626
MONROE
4540
4669
PRIMARY MEDICAL & PRENATAL EXT CLINIC
SOUTHVIEW MEDICAL
ROCHESTER, 14626
ROCHESTER, 14623
MONROE
MONROE
5745
RUSH FAMILY MEDICINE
RUSH, 14543
MONROE
6142
6143
GENESSEE VALLEY FAMILY MEDICINE
GENESEE VALLEY FAMILY MEDICINE
GENESEO, 14454
LAKEVILLE, 14480
MONROE
MONROE
MONROE
6144
GENESEE VALLEY FAMILY MEDICINE
MOUNT MORRIS, 14510
6193
SANDS CANCER CENTER
CANANDAIGUA, 14424
ONTARIO
6286
6734
CULVER MEDICAL GROUP
MIDWIFERY PRENATAL O/P CLINIC
ROCHESTER, 14609
ROCHESTER, 14609
MONROE
MONROE
6763
HIGHLAND FAMILY HEALTH CENTER
ROCHESTER, 14620
MONROE
6940
7054
HIGHLAND PHYSICAN OFFICE BUILDING
AVON FAMILY MEDICINE
ROCHESTER, 14626
AVON, 14414
MONROE
MONROE
7586
FAMILY MEDICINE OF WEBSTER
WEBSTER, 14580
MONROE
7587
CALEDONIA FAMILY MEDICINE
CALEDONIA, 14423
MONROE
7588
8501
GANANDA FAMILY MEDICINE
HIGHLAND BREAST CARE CENTER
MACEDON, 14502
ROCHESTER, 14623
MONROE
MONROE
9097
HIGHLAND DIABETES HEALTH SOURCE (DHS) AND NUTRITION
EDGE (NE)
ROCHESTER, 14618
MONROE
Page 7 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
2701003H
2541
2625
3448
2701005H
2728001H
Name
Thursday, January 20, 2011
City/Zip
County
NEWARK HEALTH CENTER
NEWARK, 14513
WAYNE
SODUS HEALTH CENTER CLINIC
THE WOMENS CENTER
SODUS, 14551
ROCHESTER, 14621
WAYNE
MONROE
3678
WOLCOTT MEDICAL CENTER
WOLCOTT, 14590
WAYNE
4090
LONG POND MEDICAL & REHAB GROUP
ROCHESTER, 14626
MONROE
4658
5563
BAY CREEK MEDICAL GROUP
WHITE PINES MEDICAL GROUP
WEBSTER, 14580
ROCHESTER, 14617
MONROE
MONROE
6069
JOHN MARSHALL HIGH SCHOOL
ROCHESTER, 14615
MONROE
6256
6276
WAYNE MEDICAL GROUP/THE COMMONS
EDISON TECHNICAL&OCCUPATIONAL CTR
WILLIAMSON, 14589
ROCHESTER, 14606
WAYNE
MONROE
MONROE
6277
JOHN JAMES AUDUBON ELEM. SCHOOL 33
ROCHESTER, 14609
6499
GENESEE HEALTH SERVICE
ROCHESTER, 14607
MONROE
6512
6525
OUTPATIENT REHABILITATION/NORTHRIDGE
SURGICAL CONSULTATION EXT CLINIC
ROCHESTER, 14622
ROCHESTER, 14621
MONROE
MONROE
6697
RIDGEPLEX MEDICAL GROUP
ROCHESTER, 14622
MONROE
6759
6760
DR. M.L. KING JR SCHOOL #9
FREDDIE THOMAS HIGH SCHOOL
ROCHESTER, 14605
ROCHESTER, 14605
MONROE
MONROE
6795
RGH OTPT&HAND THERAPY-LINDEN OAKS
ROCHESTER, 14625
MONROE
7037
MIDTOWN PT
ROCHESTER, 14610
MONROE
7077
7674
CONT DAY TRTMT/PARTIAL HOSP PR0GRAM
WAYNE MEDICAL GROUP
ROCHESTER, 14621
LYONS, 14489
MONROE
WAYNE
7838
PENN FAIR MEDICAL & PEDIATRIC GROUP
PENFIELD, 14526
MONROE
7840
7860
CLINTON FAMILY HEALTH CENTER
CARDIAC REHABILITATION CLINIC
ROCHESTER, 14605
ROCHESTER, 14622
MONROE
MONROE
8605
GENESEE VALLEY FAMILY HEALTH
ROCHESTER, 14616
MONROE
9056
WAYNE MEDICAL GROUP - ORTHOPEDICS
NEWARK, 14513
WAYNE
9057
9085
UROLOGY PRACTICE WAYNE MEDICAL GROUP
RGH OT, PT & HAND THERAPY - LINDEN OAKS
NEWARK, 14513
ROCHESTER, 14625
WAYNE
MONROE
9098
GANANDA FAMILY PRACTICE
MACEDON, 14502
WAYNE
9058
4509
URMC AMBULATORY CENTER
MUSCULOSKELETAL BLDG
ROCHESTER, 14620
ROCHESTER, 14618
MONROE
MONROE
4538
PERINATOLOGY EXTENSION CLINIC
ROCHESTER, 14618
MONROE
5655
5759
EAST HIGH SCHOOL
STRONG HEALTH CARDIAC REHAB PROGRAM
ROCHESTER, 14609
ROCHESTER, 14618
MONROE
MONROE
6215
METRO YMCA
ROCHESTER, 14604
MONROE
6231
STRONG HEALTH GREECE WOMEN'S CENTER
ROCHESTER, 14626
MONROE
6285
6431
SLEEP DISORDER/PFT SERVICES
STRONG PSYCH CENTER O/P SERVICES
ROCHESTER, 14618
ROCHESTER, 14618
MONROE
MONROE
6504
CLINTON CROSSING NUCLEAR CARDIOLOGY
ROCHESTER, 14618
MONROE
6596
6597
UNIV OTOLARYNGOLOGY ASSOC&AUDIOLOGY
STRONG HEALTH-LAZOS FUERTES CLINIC
ROCHESTER, 14618
ROCHESTER, 14605
MONROE
MONROE
6696
STRONG HLTH-SPORT&HAND REHAB-GREECE
GREECE, 14626
MONROE
6744
BIVONA CHILD ADVOCACY CENTER
ROCHESTER, 14608
MONROE
6764
6779
STRONG TIES
MARY M PARKES CENTER
ROCHESTER, 14623
ROCHESTER, 14623
MONROE
MONROE
8536
STRONG MEMORIAL HOSPITAL EC
ROCHESTER, 14618
MONROE
6970
9075
GENESEE FAMILY PRACTICE
LAKESIDE URGENT CARE CENTER
LEROY, 14482
SPENCERPORT, 14559
GENESEE
MONROE
Page 8 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
Name
2754001H
4102
4104
4287
2801001H
2908000H
2909000H
Thursday, January 20, 2011
City/Zip
County
SLEEP DISORDER CENTER
ROCHESTER, 14618
MONROE
ASSOCIATES IN FAMILY PRACTICE
WEST MAIN PRIMARY CARE
ROCHESTER, 14612
ROCHESTER, 14611
MONROE
MONROE
4290
SPENCERPORT O/P EXTENSION CLN
SPENCERPORT, 14559
MONROE
4445
IRONDEQUOIT PRIMARY CARE
ROCHESTER, 14617
MONROE
4458
4459
GREECE CHEMICAL DEPENDENCY O/P
BRIGHTON CHEMICAL DEPENDENCY 0/P
ROCHESTER, 14626
ROCHESTER, 14618
MONROE
MONROE
4461
PARK RIDGE MENTAL HEALTH
ROCHESTER, 14626
MONROE
4463
4464
EVELYN BRANDON HEALTH CENTER
BROCKPORT MENTAL HEALTH O/P
ROCHESTER, 14608
BROCKPORT, 14420
MONROE
MONROE
4797
OUTPATIENT PSYCHIATRIC CLINIC
ROCHESTER, 14611
MONROE
4890
UNITY HLTH AT JEWISH COMM CTR
ROCHESTER, 14618
MONROE
4957
5927
PARK RIDGE PROFESSIONAL BUILDING
UNITY CORNERSTONE GERIATRICS
ROCHESTER, 14626
ROCHESTER, 14626
MONROE
MONROE
6170
ORCHARD STREET PRIMARY CARE
ROCHESTER, 14611
MONROE
6173
6437
BROCKPORT FAMILY MEDICINE
UNITY OB/GYN AT CLINTON CROSSINGS
BROCKPORT, 14420
ROCHESTER, 14618
MONROE
MONROE
6544
MCCREE MCCULLER WELLNESS CTR NE
ROCHESTER, 14621
MONROE
7593
IRONDEQUOIT PHYSICAL THERAPY
ROCHESTER, 14621
MONROE
7594
7596
PARKWAY FAMILY MEDICINE/PEDIATRICS
CHILI FAMILY MEDICINE
ROCHESTER, 14612
ROCHESTER, 14624
MONROE
MONROE
7637
UNITY HEALTH SYSTEM FAMILY PRACTICE
ROCHESTER, 14616
MONROE
8550
8594
NORTHGATE MEDICAL GROUP
UNITY GERIATRIC ASSOCIATES
ROCHESTER, 14615
ROCHESTER, 14626
MONROE
MONROE
9124
UNITY HOSPITAL DIALYSIS AT SPENCERPORT
ROCHESTER, 14559
MONROE
9179
UNITY AT RIDGEWAY
ROCHESTER, 14626
MONROE
3547
ALCOHOLISM REHABILITATION
AMSTERDAM, 12010
MONTGOMERY
3763
ST. MARYS HOSPITAL FAMILY HEALTH CENTER
CANAJOHARIE, 13317
MONTGOMERY
5529
ST MARY'S HOSP DIAG SERVICES CENTER
AMSTERDAM, 12010
MONTGOMERY
5921
7061
ST MARY'S HOSPITAL FAMILY HLTH CTR
ST MARY'S FULTON CO DAY REHAB'N
JOHNSTOWN, 12095
GLOVERSVILLE, 12078
MONTGOMERY
MONTGOMERY
7564
SMH REHABILITATION SVCS EXT CLINIC
AMSTERDAM, 12010
MONTGOMERY
7776
9014
ST MARYS FAM HLTH CTR AT ST JHNSVLL
ST MARY'S GLOVERSVILLE FAMILY HEALTH CENTER
ST JOHNSVILLE, 13452
GLOVERSVILLE, 12078
MONTGOMERY
FULTON
9018
ST MARY'S PHYSICAL REHAB CENTER
AMSTERDAM, 12010
MONTGOMERY
9074
ST. MARY'S FAMILY HEALTH CENTER AT NORTHVILLE
NORTHVILLE, 12134
FULTON
5528
WINTHROP UNIV HOSP-DIALYSIS CENTER
MINEOLA, 11501
NASSAU
6068
HEMPSTEAD HIGH SCHOOL
HEMPSTEAD, 11550
NASSAU
6206
GLENGARIFF HEALTH CARE CENTER
GLEN COVE, 11542
NASSAU
6314
6433
WINTHROP HOSPITAL PET CLINIC
OUTPATIENT RADIATION THERAPY
MINEOLA, 11501
MINEOLA, 11501
NASSAU
NASSAU
6434
WINTHROP DIALYSIS CTR AT SUNHARBOR
ROSLYN HEIGHTS, 11577
NASSAU
6491
6740
CARDIAC REHAB CLINIC/PAT CLINIC
WINTHROP UNIVERSITY HOSPITAL ASC-GC
MINEOLA, 11501
GARDEN CITY, 11530
NASSAU
NASSAU
NASSAU
7524
WINTHROP UNIV HOSP DIALYSIS CTR
BETHPAGE, 11714
9123
SLEEP DISORDERS CENTER AT WINTHROP UNIVERSITY HOSPITAL
GARDEN CITY, 11530
NASSAU
9132
WOMEN'S WELLNESS OB/GYN
HEMPSTEAD, 11550
NASSAU
1272
FAMILY COUNSELING SERVICES
GARDEN CITY, 11530
NASSAU
1273
PSYCHIATRIC DAY PROGRAM
UNIONDALE, 11553
NASSAU
Page 9 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
2950001H
4758
MULTI-SPECIALITY CARE CENTER
OCEANSIDE, 11572
NASSAU
5724
6159
OUTPATIENT PSYCHIATRIC CLINIC
SOUTH NASSAU OUTPATIENT DIALYSIS CTR
BALDWIN, 11510
OCEANSIDE, 11572
NASSAU
NASSAU
6429
COMPREHENSIVE CANCER CENTER
VALLEY STREAM, 11581
NASSAU
6622
SNCH FAMILY HEALTH CENTER
OCEANSIDE, 11572
NASSAU
6838
SNC HOSP CTR FOR SLEEP STUDIES
HEWLETT, 11557
NASSAU
2950002H
9064
NUMC DIALYSIS CENTER @ A. HOLLY PATTERSON EXTENDED CARE
FACILITY
UNIONDALE, 11553
NASSAU
2951001H
3465
4565
IRVING GOLDMAN FAMILY CARE CENTER
FAR ROCKAWAY HS CLINIC
GREAT NECK, 11021
FAR ROCKAWAY, 11691
NASSAU
QUEENS
4566
BRIAN PICOLO/IS #53 SCHOOL CLINIC
FAR ROCKAWAY, 11691
QUEENS
6364
6461
NORTH SHORE UNIVERSITY HOSP EYE CTR
FAY J. LINDNER PAVILION
GREAT NECK, 11021
BETHPAGE, 11714
NASSAU
NASSAU
2953000H
7091
NSUH-CHRONIC RENAL DIALYSIS CENTER
MANHASSET, 11030
NASSAU
9112
LAKE SUCCESS, 11042
NASSAU
9172
NSUH COMPREHENSIVE WOUND CARE CENTER AND VASCULAR
ACCESS PROGRAM
NORTH SHORE LIJ IMAGING AT GREAT SOUTH BAY
ISLIP, 11751
SUFFOLK
6472
DEMATTEIS CENTER
OLD BROOKVILLE, 11545
NASSAU
9168
SOUTH BAY CARDIOVASCULAR ASSOCIATES
WEST ISLIP, 11795
SUFFOLK
4486
LOCKPORT MEM HOSP AMB CARE CTR
LOCKPORT, 14094
NIAGARA
6669
LOCKPORT IMAGING CENTER
LOCKPORT, 14094
NIAGARA
4447
NFMMC SUMMIT PARK MALL CLINIC
NIAGARA FALLS, 14304
NIAGARA
4683
TUSCARORA HEALTH CENTER
LEWISTON, 14092
NIAGARA
6220
NFMMC-MEDICAL OFFICE BUILDING
NIAGARA FALLS, 14301
NIAGARA
9100
GRAND ISLAND FAMILY HEALTH CENTER
GRAND ISLAND, 14072
ERIE
4330
CLEARVIEW OUTPATIENT SERVICES
N TONAWANDA, 14120
NIAGARA
6503
MT ST MARYS HOSP REHAB SERVICES
NIAGARA FALLS, 14305
NIAGARA
7681
9153
MT ST MARYS NEIGHBORHOOD HEALTH CTR
MOUNT ST. MARY'S PRIMARY CARE EXTENSION CLINIC FOR
COMPLETE SENIOR CAR
NIAGARA FALLS, 14305
NIAGARA FALLS, 14301
NIAGARA
NIAGARA
3154000H
6984
INTER-COMMUNITY MEM AT DAVISON CT
LOCKPORT, 14094
NIAGARA
3201002H
5736
BOONVILLE FAMILY CARE
BOONVILLE, 13309
ONEIDA
5764
ALCOHOL OUTPATIENT CLINIC
ROME, 13440
ONEIDA
6022
6023
ROME MEM HOSP-1819 BLACK RIVER BLVD
ROME MEM HOSP-1801 BLACK RIVER BLVD
ROME, 13440
ROME, 13440
ONEIDA
ONEIDA
3101000H
3102000H
3121001H
7109
CHESTNUT COMMONS PT & REHAB CTR
ROME, 13440
ONEIDA
7251
ROME MEM HOSP-1617 NORTH JAMES ST
ROME, 13440
ONEIDA
Page 10 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
3202002H
4659
MARIAN MEDICAL IMAGING
UTICA, 13501
ONEIDA
5517
5950
WOMEN & CHILDREN'S FAM HLTH CTR
ST ELIZ MEDICAL CTR@FAMILY PRACTICE CTR
UTICA, 13502
UTICA, 13501
ONEIDA
ONEIDA
3202003H
3301000H
3301003H
6226
COMMUNITY MEDICINE-EAST UTICA
UTICA, 13501
ONEIDA
6732
HAMPDEN PLACE
UTICA, 13501
ONEIDA
6948
7073
KERNAN ELEMENTARY SCHOOL
SAUQUOIT COMMUNITY MEDICINE
UTICA, 13502
SAUQUOIT, 13456
ONEIDA
ONEIDA
7522
COMMUNITY MEDICAL SERVICES-MOHAWK
MOHAWK, 13407
ONEIDA
7672
7694
NORTH UTICA COMMUNITY HEALTH CENTER
CLINTON FAMILY HEALTH CENTER
UTICA, 13502
CLINTON, 13323
ONEIDA
DUTCHESS
ONEIDA
7887
WATERVILLE FAMILY HEALTH CENTER
WATERVILLE, 13480
7888
ST. ELIZABETH MED GRP-NEW HARTFORD
NEW HARTFORD, 13413
ONEIDA
8572
9147
LITTLE FALLS FAMILY PRACTICE
ST. ELIZABETH MEDICAL ARTS
LITTLE FALLS, 13365
NEW HARTFORD, 13413
ONEIDA
ONEIDA
3800
BOONVILLE MEDICAL OFFICE
BOONVILLE, 13309
ONEIDA
6146
6223
F-SLH REGIONAL CANCER CENTER ROME
F-SLH ONEIDA DIALYSIS UNIT
ROME, 13341
ONEIDA, 13421
ONEIDA
MADISON
6389
BARNEVELD OFFICE
BARNEVELD, 13304
ONEIDA
6390
6391
WHITESBORO OFFICE
WASHINGTON MILLS OFFICE
WHITESBORO, 13492
NEW HARTFORD, 13413
ONEIDA
ONEIDA
6392
MIDDLE SETTLEMENT OFFICE
NEW HARTFORD, 13413
ONEIDA
6394
WATERVILLE OFFICE
WATERVILLE, 13480
ONEIDA
7523
7601
SLM HERKIMER COUNTY DIALYSIS SITE
NORTH UTICA MEDICAL OFFICE
LITTLE FALLS, 13365
UTICA, 13502
HERKIMER
ONEIDA
7671
SLMHC - ROME DIALYSIS UNIT
ROME, 13441
ONEIDA
7858
8512
FAXTON REGIONAL CANCER CTR-HERKIMER
FSLH-MASONIC DIALYSIS UNIT
HERKIMER, 13350
UTICA, 13501
HERKIMER
ONEIDA
4673
COMM GEN HOSP PHYS & OCCUP THERAPY
SYRACUSE, 13215
ONONDAGA
6181
CGH HEALTH EDUCATION & REHAB WEST
CAMILLUS, 13031
ONONDAGA
ONONDAGA
3418
MATERNAL CHILD HEALTH CENTER
SYRACUSE, 13203
5732
ST JOSEPH'S HOSP MENTAL HLTH CTR
SYRACUSE, 13203
ONONDAGA
5733
5763
SJHHC SLEEP LAB
WESTSIDE FAMILY HEALTH CENTER
SYRACUSE, 13210
SYRACUSE, 13204
ONONDAGA
ONONDAGA
6042
ST JOSEPH'S HOSP OUTPATIENT SVS
SYRACUSE, 13208
ONONDAGA
6043
CARDIOPULMONARY REHAB
LIVERPOOL, 13088
ONONDAGA
6831
7617
SJH NORTHEAST SLEEP LABORATORY
SJH NORTHEAST SURGERY
FAYETTEVILLE, 13066
FAYETTEVILLE, 13066
ONONDAGA
ONONDAGA
9073
IMAGING AT ST. JOSEPH'S HOSPITAL
SYRACUSE, 13203
ONONDAGA
Page 11 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
3301007H
3383
HUTCHINGS PSYCHIATRIC CENTER
SYRACUSE, 13210
ONONDAGA
4466
6259
UHCC - HARRISON
DEVELOPMENTAL EVALUATION CTR
SYRACUSE, 13210
SYRACUSE, 13210
ONONDAGA
ONONDAGA
6600
UHCC-POB
SYRACUSE, 13210
ONONDAGA
6627
UHCC-IHP
SYRACUSE, 13210
ONONDAGA
6996
7100
JOSLIN DIABETES CENTER
UNIVERSITY HEALTH CARE CENTER
SYRACUSE, 13214
SYRACUSE, 13210
ONONDAGA
ONONDAGA
7573
UHCC MANLIUS PHYSICAL MED & REHAB
MANLIUS, 13104
ONONDAGA
8532
9121
UPSTATE PEDIATRICS
UPSTATE CAMPUS EAST
BALDWINSVILLE, 13027
EAST SYRACUSE, 13057
ONONDAGA
ONONDAGA
9141
UHCC - MADISON IRVING
SYRACUSE, 13210
ONONDAGA
9154
UHCC AT HILL MEDICAL
SYRACUSE, 13210
ONONDAGA
3919
ADOLESCENT DRUG & ALCOHOL ABUSE PRG
SYRACUSE, 13210
ONONDAGA
7286
CROUSE PROMPT CARE
SYRACUSE, 13210
ONONDAGA
8537
CROUSE HOSPITAL PHYSICAL THERAPY
LIVERPOOL, 13090
ONONDAGA
9144
CROUSE EAST HAND CLINIC
EAST SYRACUSE, 13057
ONONDAGA
3467
TAYLOR-BROWN HEALTH CENTER
WATERLOO, 13165
SENECA
6124
SENECA FALLS CLINICAL SERVICES
SENECA FALLS, 13148
SENECA
6131
6735
PRE-EMPTION ROAD CLINICAL SERVICES
CLYDE FAMILY HEALTH CENTER
GENEVA, 14456
CLYDE, 14433
ONTARIO
WAYNE
7844
SENECA FAMILY HEALTH CENTER
WATERLOO, 13165
ONTARIO
3421000H
3974
7642
CLIFTON ADDICTION RECOVERY PROGRAM
PALMAC MEDICAL CENTER
CANANDAIGUA, 14424
MACEDON, 14502
ONTARIO
WAYNE
3429000H
4443
ALTON B CORBIT IMMEDIATE CARE CTR
FARMINGTON, 14450
ONTARIO
5646
5768
SPORTS MEDICINE
HONEOYE PRIMARY CARE EXTENSION CLINIC
CANANDAIGUA, 14424
HONEOYE, 14471
ONTARIO
ONTARIO
6000
GASTROENTEROLOGY EXTENSION CLINIC
CANANDAIGUA, 14424
ONTARIO
6236
7270
THOMPSON RHEUMATOLOGY PRACTICE
VICTOR FAMILY PRACTICE
CANANDAIGUA, 14424
VICTOR, 14564
ONTARIO
ONTARIO
3301008H
3402000H
3522000H
3523000H
3529000H
City/Zip
County
7752
FF THOMPSON FAMILY PRACTICE LIMA
LIMA, 14485
LIVINGSTON
7753
FF THOMPSON FAMILY PRAC SHORTSVILLE
SHORTSVILLE, 14548
ONTARIO
9046
9130
THOMPSON CLINIC AT CCIA
THOMPSON HEALTH SLEEP DISORDER CENTER
CANANDAIGUA, 14424
CANANDAIGUA, 14424
ONTARIO
ONTARIO
5730
ST LUKES HOSP OUTPATIENT CARE CTR
NEWBURGH, 12550
ORANGE
6399
6939
THE REHAB CTR AT NEW WINDSOR
ST LUKE'S CORNWALL CTR FOR REHABILITATION
NEW WINDSOR, 12553
NEW PALTZ, 12561
ORANGE
ULSTER
9158
ST. LUKE'S HOSPITAL - PHYSICAL THERAPY EXTENSION CLINIC
FISHKILL, 12524
DUTCHESS
4271
6079
HORTON FAMILY PROG FOR ALCOHOLISM
CLINICAL REHAB EXTENSION CLINIC
MIDDLETOWN, 10940
MIDDLETOWN, 10940
ORANGE
ORANGE
6296
ORANGE REGIONAL RADIATION ONCOLOGY EXT CL
GOSHEN, 10924
ORANGE
6333
7584
HORTON CT SCAN AT MALTESE DRIVE
MONROE PATIENT CARE SERVICES CTR
MIDDLETOWN, 10940
MONROE, 10950
ORANGE
ORANGE
7735
HORTON MEDICAL PAVILION
MIDDLETOWN, 10940
ORANGE
6436
6748
CENTER FOR PHYSICAL REHABILITATION
CENTER FOR PHYSICAL REHAB
GOSHEN, 10924
WARWICK, 10990
ORANGE
ORANGE
6875
WOMEN'S IMAGING CENTER
WARWICK, 10990
ORANGE
Page 12 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
3535001H
0707
HAMMOND STREET CLINIC
PORT JERVIS, 12771
ORANGE
3622000H
4084
6041
ARNOLD GREGORY AMBULATORY SERVICES
LAKE PLAINS OUTPATIENT CENTER
ALBION, 14411
MEDINA, 14103
ORLEANS
ORLEANS
7624
LAKE PLAINS DIALYSIS AT BATAVIA
BATAVIA, 14020
GENESEE
3701000H
3978
PHOENIX PRIMARY CARE CENTER
PHOENIX, 13135
OSWEGO
3702000H
5908
LAKESIDE HEART CLINIC
OSWEGO, 13126
OSWEGO
5943
PARISH HEALTH SERVICES CENTER
PARISH, 13131
OSWEGO
6458
6741
OH FULTON HEALTH SERVICES CTR
RADIOLOGY EXT CLINIC PULASKI
FULTON, 13069
PULASKI, 13142
OSWEGO
OSWEGO
6981
AMI OF OSWEGO HEALTH
FULTON, 13069
OSWEGO
6987
7023
SENECA HILL HEALTH SERVICES CENTER
OSWEGO HOSP/MEXICO FAMILY HLTH CTR
OSWEGO, 13126
MEXICO, 13114
OSWEGO
OSWEGO
7096
OSWEGO HOSP RADIOLOGY & LAB SRVS
OSWEGO, 13126
OSWEGO
3767
4820
A.O. PRIMARY CARE CENTER
STAMFORD FAMILY PRACTICE
OTSEGO, 13825
STAMFORD, 12167
OTSEGO
OTSEGO
3801000H
4821
FOXCARE CENTER
ONEONTA, 13820
OTSEGO
4895
NEW BERLIN EXTENSION CLINIC
NEW BERLIN, 13411
CHENANGO
6441
6785
FOXNOW
THE SOUTHEASTERN OTSEGO HEALTH CTR
ONEONTA, 13820
WORCESTER, 12197
OTSEGO
OTSEGO
6946
ONEONTA SURGICAL ASSOCIATES
ONEONTA, 13820
OTSEGO
7254
9025
AQUATICS THERAPY EXTENSION CLINIC
SIDNEY PRIMARY CARE
ONEONTA, 13820
SIDNEY, 13838
OTSEGO
DELAWARE
9040
NORWICH PRIMARY CARE CENTER
NORWICH, 13815
CHENANGO
9094
NORTHERN CATSKILL UROLOGY
ONEONTA, 13820
OTSEGO
Page 13 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
3824000H
3119
BASSETT HEALTHCARE ONEONTA
ONEONTA, 13820
OTSEGO
3120
3415
BASSETT HEALTHCARE SHARON SPRINGS
BASSETT HEALTHCARE MORRIS
SHARON SPRINGS, 13459
MORRIS, 13808
SCHOHARIE
OTSEGO
3563
BASSETT HEALTHCARE RICHFIELD SPRINGS
RICHFIELD SPRINGS, 13439 OTSEGO
4097
BASSETT HEALTHCARE EDMESTON
EDMESTON, 13335
OTSEGO
4098
4099
BASSETT HEALTHCARE NORWICH
BASSETT HEALTHCARE COBLESKILL
NORWICH, 13815
COBLESKILL, 12043
OTSEGO
OTSEGO
3950000H
Name
Thursday, January 20, 2011
City/Zip
County
4100
BASSETT HEALTHCARE HERKIMER
HERKIMER, 13350
HERKIMER
4101
4138
BASSETT HEALTHCARE WALTON
BASSETT HEALTHCARE DELHI
WALTON, 13856
DELHI, 13753
OTSEGO
DELAWARE
4409
BASSETT HEALTHCARE STAMFORD
STAMFORD, 12167
DELAWARE
4490
BASSETT HEALTHCARE HAMILTON
HAMILTON, 13346
MADISON
4491
4647
BASSETT HEALTHCARE SHERBURNE
A C CLARK GYMNASIUM
SHERBURNE, 13460
COOPERSTOWN, 13326
CHENANGO
OTSEGO
5930
BASSETT HEALTHCARE SCHOHARIE
SCHOHARIE, 12157
OTSEGO
6013
6058
BASSETT HEALTHCARE ONEONTA SPECIALTY SERVICES
LAURENS CENTRAL SCHOOL
ONEONTA, 13820
LAURENS, 13796
OTSEGO
OTSEGO
6059
EDMESTON CENTRAL SCHOOL
EDMESTON, 13335
OTSEGO
6060
MORRIS CENTRAL SCHOOL
MORRIS, 13808
OTSEGO
6162
6163
BASSETT HEALTHCARE DELANSON
BASSETT REGIONAL CANCER CENTER
DELANSON, 12053
ONEONTA, 13820
SCHENECTADY
OTSEGO
6358
SOUTH KORTRIGHT CENTRAL SCHOOL
SOUTH KORTRIGHT, 13842
DELAWARE
6409
6440
BASSETT HEALTHCARE DELHI II
BASSETT HEALTHCARE WEST WINFIELD
DELHI, 13753
WEST WINFIELD, 13491
DELAWARE
HERKIMER
6686
BASSETT HEALTHCARE PHYSICAL THERAPY
COOPERSTOWN, 13326
OTSEGO
6765
SHELBURNE-EARLVILLE CENTRAL SCH MIDDLE/HS
SHELBURNE, 13460
CHENANGO
6766
6792
SHERBURNE-EARLVILLE CENTRAL SCH ELEMENTARY
BASSETT HEALTHCARE-UNADILLA
SHELBURNE, 13460
UNADILLA, 13849
CHENANGO
OTSEGO
6824
BASSETT HLTH-HERKIMER CARDIAC REHAB
HERKIMER, 13350
HERKIMER
6837
6887
BASSETT HAMILTON SURGICAL SERVICES
BASSETT HEALTHCARE LITTLE FALLS
HAMILTON, 13346
LITTLE FALLS, 13365
MADISON
HERKIMER
6897
BASSETT HEALTHCARE SIDNEY
SIDNEY, 13838
OTSEGO
6988
MIDDLEBURGH ELEMENTARY SCHOOL
MIDDLEBURGH, 12122
OTSEGO
7031
7032
BASSETT HEALTHCARE GLOVERSVILLE
BASSETT HEALTHCARE CANAJOHARIE
GLOVERSVILLE, 12078
CANAJOHARIE, 13317
OTSEGO
OTSEGO
7123
BASSETT HEALTHCARE COBLESKILL II
COBLESKILL, 12043
OTSEGO
7696
8521
DELHI ELEMENTARY/MIDDLE/HIGH SCHOOL
MIDDLEBURGH CENTRAL-MIDDLE/HIGH SCHOOL
DELHI, 13753
MIDDLEBURGH, 12122
DELAWARE
OTSEGO
8522
WORCESTER CENTRAL SCHOOL
WORCESTER, 12197
OTSEGO
8523
COOPERSTOWN CENTRAL-MIDDLE/HS
COOPERSTOWN, 13326
OTSEGO
8581
8588
COOPERSTOWN CENTRAL-ELEMENTARY
BASSETT HEALTHCARE MIDDLEBURGH
COOPERSTOWN, 13326
MIDDLEBURGH, 12122
OTSEGO
SCHOHARIE
8589
BASSETT HEALTHCARE ST. JOHNSVILLE
ST. JOHNSVILLE, 13452
MONTGOMERY
9099
9106
HARTWICK SEMINARY SPECIALTY SERVICES
STAMFORD CENTRAL SCHOOL
MILFORD, 13807
STAMFORD, 12167
OTSEGO
DELAWARE
9107
SCHENEVUS CENTRAL SCHOOL
SCHENEVUS, 12155
OTSEGO
9108
MILFORD CENTRAL SCHOOL
MILFORD, 13807
OTSEGO
9126
SIDNEY CENTRAL SCHOOL
SIDNEY, 13838
DELAWARE
7034
PHC-OUTPATIENT REHABILITATION SERVS
YORKTOWN, 10598
PUTNAM
Page 14 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
4102002H
5967
SOUTH TROY PRIMARY CARE CTR
TROY, 12180
RENSSELAER
6080
6090
FAMILY MEDICAL GROUP
COHOES FAMILY CARE
RENSSELAER, 12144
COHOES, 12047
RENSSELAER
ALBANY
4102003H
City/Zip
County
6488
RIVERSIDE FAMILY MEDICAL GROUP
GREEN ISLAND, 12183
ALBANY
7777
WATERFORD FAMILY HEALTH
WATERFORD, 12188
SARATOGA
4439
SCHAGHTICOKE FAMILY HEALTH
SCHAGHTICOKE, 12154
RENSSELAER
4441
CLIFTON PARK FAMILY HEALTH CENTER
CLIFTON PARK, 12065
SARATOGA
4469
SETON HEALTH PEDIATRICS
TROY, 12180
RENSSELAER
5749
5750
MECHANICVILLE FAMILY HEALTH CTR
STILLWATER HEALTH CENTER
MECHANICVILLE, 12118
STILLWATER, 12170
RENSSELAER
RENSSELAER
6075
SETON HEALTH OB/GYN-COHOES
COHOES, 12047
ALBANY
6076
6107
TROY INTERNAL MEDICINE
SETON HEALTH PHYSICAL REHAB
TROY, 12180
CLIFTON PARK, 12065
RENSSELAER
SARATOGA
SARATOGA
6570
SETON HLTH IMAGING AT EMMA LANE
CLIFTON PARK, 12065
7004
MASSRY CENTER
TROY, 12180
RENSSELAER
7574
7783
CAPITAL REGION FAMILY HEALTH CENTER
TROY OB/GYN
RENSSELAER, 12144
TROY, 12180
RENSSELAER
RENSSELAER
9083
SETON HEALTH OB/GYN - LATHAM
LATHAM, 12110
ALBANY
4322000H
6598
HHH REHAB EXT CLINIC AT NYACK HOSP
NYACK, 10960
ROCKLAND
4324000H
6726
NYACK HOSP ALCOHOL&DRUG REHAB CLINIC
SPRING VALLEY, 10997
ROCKLAND
4329000H
6112
REGIONAL KIDNEY CENTER
HARRIMAN, 10926
ORANGE
4353000H
4488
GARNERVILLE COMM SUPPORT CENTER
GARNERVILLE, 10923
ROCKLAND
4493
SUMMIT PARK HOSP ALCOHOL REHAB CLN
SPRING VALLEY, 10977
ROCKLAND
7818
ST DOMINICS HOME
BLAUVELT, 10913
ROCKLAND
5951
WADDINGTON HEALTH CENTER
WADDINGTON, 13694
ST. LAWRENCE
5991
HEUVELTON HEALTH CENTER
HEUVELTON, 13654
ST. LAWRENCE
6895
8579
HAMMOND HEALTH CENTER
CANTON HEALTH & DIAGNOSTIC CENTER
HAMMOND, 13646
CANTON, 13617
ST. LAWRENCE
ST. LAWRENCE
8580
OGDENSBURG HEALTH CENTER
OGDENSBURG, 13669
ST. LAWRENCE
6641
7232
MASSENA MEMORIAL HOSP DIALYSIS CTR
NORFOLK FAMILY HEALTH CENTER
MASSENA, 13662
NORFOLK, 13667
ST. LAWRENCE
ST. LAWRENCE
7892
BRASHER FALLS FAMILY HEALTH CENTER
BRASHER FALLS, 13613
ST. LAWRENCE
3259
6243
ANTWERP HEALTH CENTER
E.J. NOBLE HLTH CTR DEKALB JUNCTION
ANTWERP, 13608
DEKALB JUNCTION, 13630
ST. LAWRENCE
ST. LAWRENCE
6888
EDWARDS HEALTH CENTER
EDWARDS, 13635
ST. LAWRENCE
7255
HARRISVILLE OF E J NOBLE
HARRISVILLE, 13648
ST. LAWRENCE
9062
RUSSELL HEALTHCARE CLINIC
RUSSELL, 13684
ST. LAWRENCE
4401000H
4402000H
4423000H
Page 15 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
4429000H
2665
LABORATORY AND X-RAY CLINIC
CANTON, 13617
ST. LAWRENCE
4070
5720
NEUROREHABILITATION SERVICES
PRIME CARE
POTSDAM, 13676
POTSDAM, 13676
ST. LAWRENCE
ST. LAWRENCE
6174
PAUL S WARNER CANCER TREATMENT CTR
POTSDAM, 13676
ST. LAWRENCE
6229
THE NORWOOD CLINIC
NORWOOD, 13668
ST. LAWRENCE
6428
7071
STAR LAKE SATELLITE
NORFOLK COMMUNITY HEALTH CENTER
STAR LAKE, 13690
NORFOLK, 13667
ST. LAWRENCE
ST. LAWRENCE
4501000H
4601001H
City/Zip
County
7638
THE RICHVILLE CLINIC
RICHVILLE, 13681
ST. LAWRENCE
8622
9041
BRASHER FALLS COMMUNITY HEALTH CENTER
CANTON FAMILY HEALTH CENTER
BRASHER FALLS, 13613
POTSDAM, 13676
ST. LAWRENCE
ST. LAWRENCE
9177
CPH PRIMARY CARE CENTER
POTSDAM, 13676
ST. LAWRENCE
6072
6446
REGIONAL THERAPY CENTER AT MALTA
REGIONAL THERAPY CENTER OF SARATOGA HOSP
SARATOGA
SARATOGA
6631
SARATOGA SURGERY CENTER
6958
MALTA MEDICAL ARTS
BALLSTON SPA, 12020
SARATOGA SPRINGS,
12866
SARATOGA SPRINGS,
12866
MALTA, 12010
7121
MAMMOGRAPHY CENTER OF SARATOGA
7630
WILTON MEDICAL ARTS
3579
ELLIS HOSPITAL MENTAL HEALTH CLINIC
SCHENECTADY, 12308
SCHENECTADY
6095
6782
GLENVILLE HEALTHCARE CENTER
ELLIS HOSPITAL BARIATRIC CENTER
GLENVILLE, 12302
SCHENECTADY, 12308
SCHENECTADY
SCHENECTADY
SARATOGA SPRINGS,
12866
SARATOGA SPRINGS,
12866
SARATOGA
SARATOGA
SARATOGA
SARATOGA
6571
SUNNYVIEW AUDIOLOGY AT AMSTERDAM
AMSTERDAM, 12010
MONTGOMERY
6660
SUNNYVIEW-CARMAN RD EXT CLINIC
SCHENECTADY, 12303
SCHENECTADY
4652001H
6161
PELVIC HEALTH CENTER
LATHAM, 12110
ALBANY
4823700C
4822
SEPTEMBER HILL BIRTH CENTER
MONTOUR FALLS, 14865
SCHUYLER
5738
PRIMARY CARE EXTENSION CLINIC
OVID, 14521
SCHUYLER
6260
CANCER TREATMENT SERVICES
CORNING, 14830
STEUBEN
6338
HEALTHWORKS WELLNESS&FITNESS CTR
PAINTED POST, 14870
STEUBEN
8568
CORNING HOSP O/P REHABILITATION FACILITY
CORNING, 14830
STEUBEN
2979
AQUINAS BUILDING
HORNELL, 14873
STEUBEN
4510
PRIMARY MEDICAL CARE O/P CLINIC
HORNELL, 14843
STEUBEN
4794
4817
ALFRED PRIMARY CARE EXT CLINIC
PEDIATRIC O/P EXTENSION CLINIC
ALFRED, 14802
HORNELL, 14843
ALLEGANY
STEUBEN
5505
SOUTHERN TIER HEALTH ASSOCIATION
WAYLAND, 14572
STEUBEN
7519
8565
GREENWOOD HEALTH CENTER
SOUTHERN TIER HEALTH ASSOCIATES
GREENWOOD, 14839
HORNELL, 14843
STEUBEN
STEUBEN
8601
PRIMARY MEDICAL CARE CLINIC
HORNELL, 14843
STEUBEN
9021
ORTHOPEDIC O/P CLINIC
HORNELL, 14843
STEUBEN
9022
CARDIOLOGY O/P CLINIC
HORNELL, 14843
STEUBEN
6502
THE FAMILY HEALTH CENTER
BATH, 14810
STEUBEN
4601004H
5001000H
5002001H
5022000H
Page 16 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
5123000H
3187
SOUTH BROOKHAVEN HLTH CTR EAST
SHIRLEY, 11967
SUFFOLK
3890
6835
SOUTH BROOKHAVEN HLTH CTR WEST
WOMEN'S IMAGING SERVICES CTR
PATCHOGUE, 11772
PATCHOGUE, 11772
SUFFOLK
SUFFOLK
6979
CTR FOR WOUND CARE&HYPERBARIC MEDICINE
PATCHOGUE, 11772
SUFFOLK
7619
BROOKHAVEN MEM HOSP DIALYSIS CENTER
PATCHOGUE, 11772
SUFFOLK
9004
PATCHOGUE, 11772
SUFFOLK
9081
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER CARDIO
REHABILITATION CENT
OUTPATIENT BARIATRIC PROGRAM
PATCHOGUE, 11772
SUFFOLK
5729
5757
DAVID E ROGERS MD CENTER
WESTHAMPTON PRIMARY CARE CENTER
SUFFOLK
SUFFOLK
SUFFOLK
SUFFOLK
SUFFOLK
5126000H
5127000H
5149000H
5149001H
5151001H
5154000H
City/Zip
County
6425
SPORTS REHAB WESTHAMPTON
SOUTHAMPTON, 11968
WESTHAMPTON BEACH,
11978
WESTHAMPTON, 11978
7741
7882
SHINNECOCK HEALTH CENTER
SOUTHAMPTON HOSP REG DIALYSIS CTR
SOUTHAMPTON, 11968
HAMPTON BAYS, 11946
3442
QUANNACUT OUTPATIENT SERVICES
RIVERHEAD, 11901
SUFFOLK
7751
GLADYS BROOKS SPORTS REHAB CENTER
SOUTHOLD, 11971
SUFFOLK
SUFFOLK
4489
PRIMARY MED CARE OUTPATIENT
PORT JEFFERSON, 11776
5695
OUTPATIENT BEHAVIORAL HEALTH SVCS
PORT JEFFERSON, 11776
SUFFOLK
5926
7598
MRI EXTENSION CLINIC
J T MATHER WOUND CARE CLINIC
PORT JEFFERSON, 11777
MELVILLE, 11747
SUFFOLK
SUFFOLK
5769
ST. CHARLES REHABILITATION
EAST SETAUKET, 11733
SUFFOLK
5770
5925
ST. CHARLES REHABILITATION
MRI EXTENSION CLINIC
SMITHTOWN, 11787
PORT JEFFERSON, 11777
SUFFOLK
SUFFOLK
6247
ST CHARLES REHABILITATION
RIVERHEAD, 11901
SUFFOLK
7106
7260
ST CHARLES REHABILITATION
ST CHARLES REHABILITATION
MELVILLE, 11747
ALBERTSON, 11507
SUFFOLK
SUFFOLK
7754
WOMANS HEALTH SOURCE
CENTEREACH, 11720
SUFFOLK
7755
ST CHARLES REHABILITATION
RONKONKOMA, 11779
SUFFOLK
7762
ST. CHARLES REHABILITATION
PATCHOGUE, 11772
SUFFOLK
4496
STONY BROOK TECHNOLOGY CENTER
EAST SETAUKET, 11733
SUFFOLK
6365
EXTENSION CLINIC AT PATCHOGUE
PATCHOGUE, 11772
SUFFOLK
6366
6367
EXTENSION CLINIC AT ISLIP
EXTENSION CLINIC AT EAST MORICHES
ISLIP TERRACE, 11752
EAST MORICHES, 11940
SUFFOLK
SUFFOLK
6505
STONY BROOK UNIVERSITY HOSP OB&GYN
EAST SETAUKET, 11733
SUFFOLK
6556
6578
UNIVERSITY HOSPITAL SLEEP DISORDER CLINIC
UNIVERSITY HOSPITAL ISLANDIA CLINIC
SMITHTOWN, 11787
ISLANDIA, 11749
SUFFOLK
SUFFOLK
6737
RISK REDUCTION&DISEASE MGMT CTR
EAST SETAUKET, 11733
SUFFOLK
6738
UNIVERSITY GI&HEPATOLOGY
EAST SETAUKET, 11733
SUFFOLK
6739
6742
NEUROLOGY ASSOCIATES AT STONY BROOK
CODY CTR FOR AUTISM AT STONY BROOK
EAST SETAUKET, 11733
PORT JEFFERSON, 11777
SUFFOLK
SUFFOLK
6857
UNIVERSITY HOSP PSYCH O/P CLINIC
STONY BROOK, 11794
SUFFOLK
6945
7571
STONY BROOK UROLOGY NEUROSURGERY CLINIC
UNIVERSITY HOSPITAL BREAST CARE CTR
EAST SETAUKET, 11733
SETAUKET, 11733
SUFFOLK
SUFFOLK
7572
HAMPTON BAYS EXTENSION CLINIC
HAMPTON BAYS, 11946
SUFFOLK
7653
STONY BROOK FAMILY PRACTICE CENTER
EAST SETAUKET, 11733
SUFFOLK
8628
9027
STONY BROOK PRIMARY CARE CENTER
SBUH ORTHOPEDICS AND DIAGNOSTIC RADIOLOGY
EAST SETAUKET, 11733
EAST SETAUKET, 11733
SUFFOLK
SUFFOLK
3860
SOUTHSIDE HOSPITAL
BAY SHORE, 11706
SUFFOLK
Page 17 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Name
Thursday, January 20, 2011
Opcert
PFI
City/Zip
County
5154001H
1746
CHRONIC DIALYSIS CENTER
BAY SHORE, 11706
SUFFOLK
6268
6894
CHRONIC DIALYSIS CTR AT LINDENHURST
GOOD SAMARITAN HOSP PET/CT SCANNER
LINDENHURST, 11757
WEST ISLIP, 11795
SUFFOLK
SUFFOLK
6968
GOOD SAMARITAN HOSP PRE-SURG TESTING
BAY SHORE, 11706
SUFFOLK
6969
GSHC FOR PEDIATRIC SPECIALTY CARE
BABYLON, 11702
SUFFOLK
8606
9038
PHYSICAL THERAPY & REHAB CENTER
GSHMC-CENTRAL REGIONAL LABORATORY SERVICES
WEST ISLIP, 11795
HAUPPAUGE, 11788
SUFFOLK
SUFFOLK
5155000H
6424
PECONIC BAY PHYSICAL THERAPY&REHAB CTR
RIVERHEAD, 11901
SUFFOLK
5263000H
5665
WURTSBORO EXTENSION CLINIC
WURTSBORO, 12790
SULLIVAN
5998
ROCKLAND FAMILY HEALTH CENTER
ROSCOE, 12776
SULLIVAN
6594
LIVINGSTON MANOR FAMILY HLTH CTR
LIVINGSTON MANOR, 12758 SULLIVAN
6619
6716
LIBERTY MEDICAL GROUP
CRMC-JEFFERSON EXTENSION CLINIC
FERNDALE, 12734
MONTICELLO, 12701
SULLIVAN
SULLIVAN
4333
CONVENIENT CARE AMB SURGI CTRS
ITHACA, 14850
TOMPKINS
7670
9023
CORTLAND CONVENIENT CARE
ISLAND HEALTH CENTER
CORTLAND, 13045
ITHACA, 14850
TOMPKINS
TOMPKINS
9063
CAYUGA MEDICAL CENTER PHYSICAL THERAPY
ITHACA, 14850
TOMPKINS
5692
6401
ULSTER RADIATION ONCOLOGY CENTER
BENEDICTINE HOSPITAL HEALTH CTR
KINGSTON, 12401
KINGSTON, 12401
ULSTER
ULSTER
7645
BENEDICTINE HOSP PSYCH EXT CLINIC
KINGSTON, 12401
ULSTER
4083
6283
COMMUNITY IMAGING CENTER
HEMODIALYSIS/CAPD OUTPATIENT CENTER
KINGSTON, 12401
KINGSTON, 12401
ULSTER
ULSTER
6451
PAIN TREATMENT CENTER
KINGSTON, 12401
ULSTER
6455
6456
THE KINGSTON HOSP CARDIAC REHAB
THE KINGSTON HOSP RADIOLOGY
KINGSTON, 12401
KINGSTON, 12401
ULSTER
ULSTER
6804
BRIDGE BACK ALCOHOL REHAB PROGRAM
KINGSTON, 12401
ULSTER
6862
METHADONE MAINTENANCE TREATMENT PROGRAM
KINGSTON, 12401
ULSTER
5401001H
5501000H
5501001H
Page 18 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
Name
5601000H
3112
3925
4436
5820000H
5901000H
5902001H
5902002H
5903000H
Thursday, January 20, 2011
City/Zip
County
THE CENTER FOR RECOVERY
HUDSON FALLS, 12839
WASHINGTON
WHITEHALL HEALTH CENTER
BEHAVIORAL HLTH SERVS/RIDGE COMMONS
WHITEHALL, 12887
GLENS FALLS, 12801
WASHINGTON
WARREN
4934
CENTER FOR RECOVERY
GLENS FALLS, 12801
WARREN
5671
EVERGREEN HLTH CTR-RADIOLOGY EXT CLN
CORINTH, 12822
SARATOGA
6056
6084
CAMBRIDGE FAMILY HEALTH CLINIC
MOREAU HLTH CTR PINEWOOD PROF PARK
CAMBRIDGE, 12816
FORT EDWARD, 12828
WARREN
WARREN
6085
GRANVILLE HEALTH CENTER
GRANVILLE, 12832
WARREN
6257
6294
GFH OUTPATIENT RENAL DIALYSIS CTR
GFH BROAD STREET CAMPUS
GLEN FALLS, 12801
GLENS FALLS, 12801
WARREN
WARREN
6397
ADVANCED IMAGING AT BAYBROOK
QUEENSBURY, 12804
WARREN
6533
THE REHAB CTR & THE HEARING CTR
QUEENSBURY, 12804
WARREN
6655
6691
FORT EDWARD FAMILY MEDICINE
GREENWICH FAMILY HEALTH CENTER
FORT EDWARD, 12828
GREENWICH, 12834
WASHINGTON
WASHINGTON
6692
SALEM FAMILY HEALTH CENTER
SALEM, 12865
WASHINGTON
6693
6743
HOOSICK FALLS FAMILY HEALTH CTR
SARATOGA PHYSICIAN'S PRACTICE
RENSSELAER
SARATOGA
6829
THE MEDICAL CENTER AT WILTON
HOOSICK FALLS, 12090
SARATOGA SPRINGS,
12866
GANSEVOORT, 12831
6851
7085
MAIN STREET PHYSICAL THERAPY
WILTON HEALTH SERVICES
GLENS FALLS, 12801
WILTON, 12866
WARREN
WARREN
7086
HADLEY-LUZERNE SCHOOL
LAKE LUZERNE, 12846
WARREN
7087
WHITEHALL SCHOOL
WHITEHALL, 12887
WARREN
8630
9011
HUDSON FALLS INTERNAL MEDICINE
HILL CONDY FAMILY PRACTICE
WASHINGTON
SARATOGA
9155
GLENS FALLS HOSPITAL BROAD STREET CAMPUS
HUDSON FALLS, 12893
SARATOGA SPRINGS,
12866
GLENS FALLS, 12801
9049
MYERS MEDICAL OFFICE BUILDING
SODUS, 14551
WAYNE
2627
HUDSON VALLEY HOSPITAL CENTER MMTP
PEEKSKILL, 10566
WESTCHESTE
3110
CROTON-ON-HUDSON,
10520
COLD SPRING, 10516
WESTCHESTE
6439
HUDSON VALLEY HOSPITAL CENTER CROTON DIAGNOSTIC &
REHABILITATION
PT&RADIOLOGY SERVS-COLD SPRING
7560
HUDSON VALLEY HOSPITAL CTR-PT
MONTROSE, 10548
WESTCHESTE
7859
WATERSIDE DIAGNOSTIC IMAGING
PUTNAM VALLEY, 10579
PUTNAM
4857
ARMONK CLINIC
ARMONK, 10504
WESTCHESTE
6577
WPHC-WOMEN'S IMAGING CENTER
RYE BROOK, 10573
WESTCHESTE
6768
WHITE PLAINS HC OT & PT CLINIC
RYE BROOK, 10573
WESTCHESTE
6410
BURKE REHAB & SPORTS MEDICINE CTR
HARRISON, 10528
WESTCHESTE
6510
BURKE REHAB & SPORTS MEDICINE
HARRISON, 10528
WESTCHESTE
6573
BURKE REHAB SPORTS&PHYSICAL MEDICINE
BRONX, 14069
BRONX
2632
METHADONE MAINTENANCE O/P CLINIC
MOUNT VERNON, 10551
WESTCHESTE
6018
MVH PARTIAL HOSPITALIZATION PROGRAM
MOUNT VERNON, 10550
WESTCHESTE
7883
INFECTIOUS DISEASE CENTER
NEW ROCHELLE, 10802
WESTCHESTE
SARATOGA
WARREN
WESTCHESTE
Page 19 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
5907001H
3458
GREENBURGH ALCOHOLISM EXT CLINIC
WHITE PLAINS, 10603
WESTCHESTE
4437
4757
ARCHWAY CLINIC
NEW FOCUS CENTER
MOUNT VERNON, 10550
YONKERS, 10703
WESTCHESTE
WESTCHESTE
5791
ALCOHOLISM TREATMENT SVS-GREENBURGH
GREENBURGH, 10523
WESTCHESTE
6400
SJRH-DAY REPORTING CTR
MOUNT VERNON, 10550
WESTCHESTE
6459
6590
HAWTHORNE CEDAR KNOLLS O/P CLINIC
COACHMAN CLINIC
HAWTHORNE, 10532
WHITE PLAINS, 10601
WESTCHESTE
WESTCHESTE
2615
PSYCHIATRIC DAY CARE&METHADONE CTR
YONKERS, 10701
WESTCHESTE
4603
4604
EUGENIO MARIA DE HOSTOS MICROSOCIETY SCH
ROSEMARIE ANN SIRAGUSA SCHOOL
YONKERS, 10705
YONKERS, 10704
WESTCHESTE
WESTCHESTE
5907002H
4605
MARTIN LUTHER KING JR SCHOOL
YONKERS, 10701
WESTCHESTE
5519
6305
FAMILY HEALTH CENTER & SPECIALTY CLINIC
ENRICO FERMI SCHOOL PERFORMING ARTS
YONKERS, 10701
YONKERS, 10701
WESTCHESTE
WESTCHESTE
7515
ST JOSEPH'S HOSP ALCOHOL REHAB CLN
YONKERS, 10705
WESTCHESTE
7843
URGICENTER
YONKERS, 10701
WESTCHESTE
8613
9104
SVMC-WEST WP OPIOID TREATMENT CENTER
CEDAR PLACE SCHOOL
WHITE PLAINS, 10601
YONKERS, 10705
NEW YORK
WESTCHESTE
6450
NO. WEST FAMILY HEALTH PRACTICE
MOUNT KISCO, 10549
WESTCHESTE
6582
CARDIAC IMAGING OF YORKTOWN
WESTCHESTE
8507
NORTHERN WESTCHESTER HOSP PRENATAL CARE
YORKTOWN HEIGHTS,
10598
BREWSTER, 10509
5922000H
4682
9053
CENTER FOR REHAB & SPORTS MEDICINE
LAWRENCE HOSPITAL CENTER FOR PT & SPORT MEDICINE
SCARSDALE, 10583
EASTCHESTER, 10709
WESTCHESTE
WESTCHESTE
5932000H
3190
PHELPS THRESHOLD&ALCOHOLISM CLINIC
TARRYTOWN, 10591
WESTCHESTE
3865
5712
PHELPS PSYCHIATRIC CLINIC
ECHO HILLS FAMILY COUNSELING CTR
WESTCHESTE
WESTCHESTE
5713
ALCOHOL TREATMENT SERVICES
BRIARCLIFF, 10510
HASTINGS ON HUDSON,
10706
OSSINING, 10562
WESTCHESTE
5962
REHABILITATION EXTENSION CLINIC
SLEEPY HOLLOW, 10591
WESTCHESTE
4279
NORTH JAVA MEDICAL CENTER
NORTH JAVA, 14113
WYOMING
4514
WYOMING COUNTY COMM HOSP O/P CLINICS
WARSAW, 14569
WYOMING
5700
9167
ARCADE HEALTH CENTER
NORTH MAIN OUTPATIENT CENTER
ARCADE, 14009
WARSAW, 14569
WYOMING
WYOMING
5920000H
6027000H
WESTCHESTE
2608
DUNDEE FAMILY HEALTH CENTER
DUNDEE, 14837
YATES
4954
JOHN D KELLY BEHAVORIAL HLTH CTR
PENN YAN, 14527
YATES
3378
MENTAL HEALTH CLINIC
BRONX, 10456
BRONX
4144
CONTINUING TREATMENT PROGRAM II
BRONX, 10456
BRONX
7000002H
7775
HEALTH CENTER AT GUNHILL
BRONX, 10469
BRONX
7000005H
4404
OUR LADY OF MERCY ALCOHOLISM CLINIC
BRONX, 10470
BRONX
4405
6066
OUR LADY OF MERCY MENTAL HEALTH CLN
MIDDLE SCHOOL 142
BRONX, 10470
BRONX, 10466
BRONX
BRONX
6120700C
7000001H
Page 20 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
7000006H
0318
PRIMARY CARE NETWORK
BRONX, 10458
BRONX
1193
1196
COMPREHENSIVE HEALTH CARE CTR
COMPREHENSIVE FAM CARE CTR
BRONX, 10451
BRONX, 10461
BRONX
BRONX
1462
METHADONE CLINIC III
BRONX, 10453
BRONX
2601
GOTTSCHO CHILDRENS DIALYSIS CENTER
OLIVEREA, 12462
ULSTER
3281
3443
AFTER CARE PROGRAM
BAY PLAZA PRIMARY CARE CENTER
YONKERS, 10701
BRONX, 10475
WESTCHESTE
BRONX
4276
CROSS COUNTY SHOPPING MALL EXT CLN
YONKERS, 10704
WESTCHESTE
4561
4625
FORDHAM FAMILY PRACTICE
THEODORE ROOSEVELT HIGH SCHOOL
BRONX, 10458
BRONX, 10458
BRONX
BRONX
4651
PS 105
BRONX, 10462
BRONX
4652
PS 85
BRONX, 10458
BRONX
4653
4687
PS 55
DEWITT CLINTON HIGH SCHOOL
BRONX, 10456
BRONX, 10468
BRONX
BRONX
7000008H
4688
MARTHA NIELSON HIGH SCHOOL
BRONX, 10459
BRONX
4800
5511
UNIVERSITY AVE FAMILY PRACTICE CTR
WEST FARMS FAMILY PRACTICE CENTER
BRONX, 10468
BRONX, 10460
BRONX
BRONX
5702
MOSHOLU AVENUE PRIMARY CARE CTR
BRONX, 10471
BRONX
5703
MONTEFIORE RADIOLOGY EXT CLINIC
BRONX, 10461
BRONX
5704
5705
P S 28
P S 95
BRONX, 10457
BRONX, 10463
BRONX
BRONX
5706
MMTP 1
BRONX, 10467
BRONX
5756
5795
IS 216 AND 217
THE MARBLE HILL FAMILY PRACTICE CTR
BRONX, 10459
BRONX, 10463
BRONX
BRONX
5796
PS8
BRONX, 10458
BRONX
5797
I S 45
BRONX, 10458
BRONX
5956
6218
MONTEFIORE REHAB MEDICAL ASSOCIATES
COMMUNITY SCHOOL 214-SO BRONX HS
BRONX, 10461
BRONX, 10455
BRONX
BRONX
6273
HELP USA
NEW YORK, 10035
NEW YORK
6274
6275
NELSON AVENUE FAMILY RESIDENCE
JACKSON AVE FAMILY RESIDENCE
BRONX, 10453
BRONX, 10454
BRONX
BRONX
6486
STD CENTER
BRONX, 10467
BRONX
6514
WALTON HIGH SCHOOL
BRONX, 10468
BRONX
6868
6899
MONTEFIORE-EINSTEIN CANCER CENTER
CENTER FOR RADIATION THERAPY
BRONX, 10461
BRONX, 10461
BRONX
BRONX
7047
LOW LEAD CLINIC
BRONX, 10467
BRONX
7048
7049
MONTEFIORE MED GROUP-WILLIAMSBRIDGE
CASTLE HILL FAMILY PRACTICE
BRONX, 10469
BRONX, 10462
BRONX
BRONX
7125
CHILD PROTECTION CENTER
BRONX, 10467
BRONX
7589
GENERAL CLINICAL RESEARCH CENTER
BRONX, 10461
BRONX
7590
7682
SOUTH BRONX HEALTH CENTER
MONTEFIORE MED GRP AGING IN AMERICA
BRONX, 10459
BRONX, 10461
BRONX
BRONX
8525
EVANDER CHILDS CAMPUS
BRONX, 10467
BRONX
9020
9077
HERBERT H. LEHMAN HIGH SCHOOL
JAMAICA ASSESSMENT CENTER
BRONX, 10461
JAMAICA, 11432
BRONX
QUEENS
9091
NYCHP PRIMARY CARE CLINIC
BRONX, 10459
BRONX
9161
PS 64 PURA BELPRE SCHOOL
BRONX, 10452
BRONX
4450
ALCOHOLISM OUTPATIENT CLINIC
BRONX, 10454
BRONX
Page 21 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
7000014H
3632
FORDHAM-TREMONT COMM MENTAL HLTH CTR
BRONX, 10458
BRONX
3633
3987
FORDHAM-TREMONT COMM MENTAL HLTH CTR
FORDHAM-TREMONT COMM MNTL HLTH CTR
BRONX, 10458
BRONX, 10460
BRONX
BRONX
4296
FORDHAM-TREMONT COMM MNTL HLTH CTR
BRONX, 10453
BRONX
4713
FORDHAM PLAZA PRIMARY CARE CLINIC
BRONX, 10458
BRONX
4768
6035
ST BARNABAS HOSPITAL-HEMODIALYSIS
BARNABAS HOSPITAL MMTP
BRONX, 10457
BRONX, 10457
BRONX
BRONX
6136
ST BARNABAS PRIMARY CARE CENTER
BRONX, 10543
BRONX
7781
7782
AMBULATORY CARE CLN AT UNION HOSP
FORDHAM TREMONT COMM MENTL HLTH CTR
BRONX, 10458
BRONX, 10460
BRONX
BRONX
5596
GUNHILL PEDIATRIC PRIMARY CARE CENTER
BRONX, 10467
BRONX
5617
HEALTH CENTER AT TREMONT
BRONX, 10457
BRONX
1166
FAMILY PRACTICE CLINIC
BROOKLYN, 11212
KINGS
5666
BROOKDALE FAMILY CARE CTR @PENN AVE
BROOKLYN, 11207
KINGS
7001003H
5974
6717
ROCKWELL DIALYSIS CENTER
PATH CENTER
BROOKLYN, 11201
BROOKLYN, 11226
KINGS
KINGS
7001009H
3394
IDA G ISRAEL COMMUNITY HEALTH CENTER
BROOKLYN, 11224
KINGS
5575
8634
HOMECREST DISTRICT HEALTH CENTER
STAPLETON CHILD HEALTH CLINIC
BROOKLYN, 11229
STATEN ISLAND, 10304
KINGS
NEW YORK
7001016H
1237
BEDFORD STUYVESANT ALCOHOLISM TRMT CENTER
BROOKLYN, 11205
KINGS
7001017H
4570
IS 293 HEALTH EXT CLINIC
BROOKLYN, 11231
KINGS
4601
JHS 142 HEALTH EXT CLINIC
BROOKLYN, 11231
KINGS
4617
PS 38 HEALTH EXT CLINIC
BROOKLYN, 11231
KINGS
5923
M S 51-WILLIAM ALEXANDER SCHOOL
BROOKLYN, 11215
KINGS
7000024H
7001002H
Page 22 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
7001019H
3085
PRIMARY CARE ANNEX
BROOKLYN, 11220
KINGS
3086
4606
MENTAL HEALTH CENTER
PS 1
BROOKLYN, 11220
BROOKLYN, 11220
KINGS
KINGS
KINGS
7001020H
4609
PS 314
BROOKLYN, 11220
4610
PS 15
BROOKLYN, 11220
KINGS
4612
4613
JHS 220 PERSHING
PS 169
BROOKLYN, 11220
BROOKLYN, 11236
KINGS
KINGS
4614
PS 172
BROOKLYN, 11220
KINGS
4615
4616
PS 94 HEALTH EXTENSION CLINIC
PS 136 (DEWEY) HEALTH EXT CLINIC
BROOKLYN, 11220
BROOKLYN, 11232
KINGS
KINGS
4672
PARK SLOPE FAMILY HEALTH CENTER
BROOKLYN, 11215
KINGS
4697
ERASMUS HALL HIGH SCHOOL
BROOKLYN, 11226
KINGS
4866
5922
P. S. 307/265
P S 10
BROOKLYN, 11201
BROOKLYN, 11215
KINGS
KINGS
6118
CENTER FOR CHILD DEVELOPMENT
BROOKLYN, 11200
KINGS
6119
6420
SHORE ROAD SPORTS AND REHAB CLINIC
BROOKLYN CHINESE FAMILY HTLH CTR
BROOKLYN, 11209
BROOKLYN, 11220
KINGS
KINGS
6496
PS 24
BROOKLYN, 11232
KINGS
7257
PARK RIDGE FAMILY HEALTH CENTER
BROOKLYN, 11220
KINGS
7508
7718
SHORE ROAD FAMILY PRACTICE
CARIBBEAN AMERICAN FAMILY HEALTH CENTER
BROOKLYN, 11209
BROOKLYN, 11203
KINGS
KINGS
7868
MS 88 PETER ROUGET
BROOKLYN, 11215
KINGS
9133
9160
SUNSET PARK FAMILLY HEALTH CENTER
LUTHERAN MEDICAL CENTER DENTAL CLINIC
BROOKLYN, 11220
BROOKLYN, 11201
KINGS
KINGS
5644
MAIMONIDES REHABILITATION SERVICES
BROOKLYN, 11219
KINGS
5755
6839
MAIMONIDES AMBULATORY CARE CENTER
MAIMONIDES SLEEP DISORDER CLINIC
BROOKLYN, 11219
BROOKLYN, 11219
KINGS
KINGS
6854
FORT HAMILTON CLINIC TREATMENT PROGRAM
BROOKLYN, 11209
KINGS
6855
MAPLETON CLINIC TREATMENT PROGRAM
BROOKLYN, 11230
KINGS
7566
7725
MAIMONIDES FAMILY HEALTH CENTER
MAIMONIDES PRIMARY HEALTH SERVICES
BROOKLYN, 11226
BROOKLYN, 11220
KINGS
KINGS
7778
MAIMONIDES ADULT PRIMARY CARE CTR
BROOKLYN, 11219
KINGS
8505
8602
BENSONHURST CLINIC TREATMENT PROGRAM
9TH AVE WOMEN'S PRIMARY CARE CENTER
BROOKLYN, 11214
BROOKLYN, 11219
KINGS
BRONX
9071
MAIMONIDES CANCER CENTER
BROOKLYN, 11220
KINGS
5635
7862
MENTAL HEALTH CLINIC
METRO SPORTS MED
BROOKLYN, 11215
BROOKLYN, 11215
KINGS
KINGS
9159
NEW YORK METHODIST EXTENSION CLINIC
BROOKLYN, 11215
KINGS
0086
3930
BROOKDALE VILLAGE HEALTH CARE FAC
PSYCHIATRIC DAY TREATMENT CLINIC
FAR ROCKAWAY, 11691
FAR ROCKAWAY, 11691
QUEENS
QUEENS
4401
COMMUNITY MENTAL HEALTH CENTER
FAR ROCKAWAY, 11691
QUEENS
7001033H
8629
PIERRE TOUSSAINT FAMILY HEALTH CARE CENTER
BROOKLYN, 11213
KINGS
7001035H
4422
FAMILY HEALTH CENTER
BROOKLYN, 11207
KINGS
4670
FAMILY HEALTH CTR BUSHWICK HIGH SCHOOL
BROOKLYN, 11237
KINGS
6581
7604
WOMEN'S HEALTH CTR EXT CLINIC
QUEENSBRIDGE FAMILY HEALTH CENTER
BROOKLYN, 11237
LONG ISLAND CITY, 11101
KINGS
QUEENS
9067
WYCKOFF HEIGHTS MEDICAL CENTER EXTENSION CLINIC
BROOKLYN, 11237
KINGS
7001021H
7001024H
Page 23 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
7001037H
0317
SUNY DOWNSTATE MEDICAL CTR MMTP
BROOKLYN, 11203
KINGS
5557
6208
UHB FAMILY HEALTH SERVICES
CENTER FOR HEALTH SERVICES-MIDWOOD
BROOKLYN, 11203
BROOKLYN, 11210
KINGS
KINGS
6209
CENTER FOR HEALTH SERVICES-BED STUY
BROOKLYN, 11216
KINGS
6221
SUNY-PARKSIDE DIALYSIS CENTER
BROOKLYN, 11203
KINGS
6816
6817
PS 13
WINGATE HIGH SCHOOL
BROOKLYN, 11207
BROOKLYN, 11203
KINGS
KINGS
9175
UNIVERSITY HOSPITAL OF BROOKLYN AMBULATORY SURGERY
CENTER EXTENSION SI
BROOKLYN, 11228
KINGS
3389
WOODHULL WILLIAMSBURG ADULT HLTH CTR
BROOKLYN, 11206
KINGS
3411
BUSHWICK HEALTH CENTER
BROOKLYN, 11207
KINGS
5616
BUSHWICK COMMUNICARE CENTER
BROOKLYN, 11221
KINGS
6065
6207
I S 49
GREENPOINT COMMUNITY HEALTH CTR
BROOKLYN, 11206
BROOKLYN, 11211
KINGS
KINGS
6513
850 GRAND ST CAMPUS HIGH SCHOOL
BROOKLYN, 11211
KINGS
8593
ACORN HS FOR SOCIAL JUSTICE
BROOKLYN, 11206
KINGS
2639
BEDFORD AMBULATORY CARE CENTER
BROOKLYN, 11201
KINGS
6841
BISHOP O.G. WALKER JR HEALTH CARE CTR
BROOKLYN, 11238
KINGS
6842
INTERFAITH MEDICAL CTR-ST. MARK'S
BROOKLYN, 11238
KINGS
7001215R
7796
PUBLIC SCHOOL 282
BROOKLYN, 11217
KINGS
7001265R
5606
MARINERS HARBOR CHILD HLTH CLN
RICHMOND, 10303
RICHMOND
7002001H
6494
NORMAN THOMAS HIGH SCHOOL
NEW YORK, 10016
NEW YORK
7253
PS 51
NEW YORK, 10036
NEW YORK
9110
PS 811 M
NEW YORK, 10010
NEW YORK
9111
PS 347
NEW YORK, 10016
NEW YORK
0644
GOUVERNEUR CLINIC
NEW YORK, 10002
NEW YORK
2543
MAX MELTZER HEALTH & SERVICE CENTER
NEW YORK, 10009
NEW YORK
2671
2672
BETH ISRAEL MED CTR #4
ST VINCENT'S MANHATTAN
NEW YORK, 10027
NEW YORK, 10011
NEW YORK
NEW YORK
2673
VINCENT P. DOLE CLINIC
BROOKLYN, 11215
KINGS
2675
2676
BETH ISRAEL MED CTR 1-E 2-F 3-G
BETH ISRAEL MED CTR #2
NEW YORK, 10010
NEW YORK, 10035
NEW YORK
NEW YORK
2679
BETH ISRAEL MED CTR 2-C
NEW YORK, 10010
NEW YORK
2681
HARLEM CLINICS #1 #3 #6 #7
NEW YORK, 10035
NEW YORK
2682
2683
BETH ISRAEL MED CTR ST CLARE'S
BETH ISRAEL MED CTR CUMBERLAND
NEW YORK, 10019
BROOKLYN, 11217
NEW YORK
KINGS
2685
BETH ISRAEL MED CTR 3-C
NEW YORK, 10010
NEW YORK
2686
2691
BETH ISRAEL MED CTR 8 & 8-D
BETH ISRAEL MED CTR COOPER SQUARE
NEW YORK, 10027
NEW YORK, 10003
NEW YORK
NEW YORK
4951
UPPER MANHATTAN DIALYSIS CTR BIMC
NEW YORK, 10025
NEW YORK
6019
BETH ISRAEL CHRONIC DIALYSIS CTR
NEW YORK, 10003
NEW YORK
6787
7030
BIMC VASCULAR ACCESS CTR
BIMC DIALYSIS AT 1555 THIRD AVENUE
NEW YORK, 10003
NEW YORK, 10128
NEW YORK
NEW YORK
5550
ARTHRO FITNESS SPORTS REHAB OF NY
NEW YORK, 10016
NEW YORK
6177
6230
HJD OCCUPATION/INDUSTRIAL ORTHO CTR
HOSP FOR JOINT DISEASES AMB CTR
NEW YORK, 10014
NEW YORK, 10003
NEW YORK
NEW YORK
7001045H
7001046H
7002002H
7002011H
Name
Thursday, January 20, 2011
City/Zip
County
Page 24 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
7002012H
4183
REHABILITATION CLINIC
NEW YORK, 10021
NEW YORK
4424
6859
PROSTHETICS & ORTHOTICS
INTEGRATIVE CARE CENTER
NEW YORK, 10021
NEW YORK, 10017
NEW YORK
NEW YORK
7760
OSTEOPOROSIS PREVENTION CENTER
NEW YORK, 10021
NEW YORK
9012
RIVER TERRACE RADIOLOGY
NEW YORK, 10021
NEW YORK
5510
LENOX HILL HOSP CTR FOR MENTAL HLTH
NEW YORK, 10021
NEW YORK
5696
P.S. 11
NEW YORK, 10011
NEW YORK
5697
THE CLINTON SCHOOL
NEW YORK, 10011
NEW YORK
7002019H
8560
LENOX HILL HOSPITAL (MEETH)
NEW YORK, 10021
NEW YORK
7002020H
0978
HARLEM BREAST EXAM CTR CLN
NEW YORK, 10027
NEW YORK
4542
5993
MEM SLOAN KETTERING 64TH ST CTR
GUTTMAN DIAGNOSTIC CENTER
NEW YORK, 10021
NEW YORK, 10003
NEW YORK
NEW YORK
6032
MSK COUNSELING CENTER
NEW YORK, 10022
NEW YORK
6362
SIDNEY KIMMEL CENTER
NEW YORK, 10021
NEW YORK
6636
6905
MEMORIAL SLOAN KETTERING-SUFFOLK
MSK AT SLEEPY HOLLOW
COMMACK, 11725
SLEEPY HOLLOW, 10591
SUFFOLK
WESTCHESTE
6906
MSK301 O/P IMAGING AT E55 ST
NEW YORK, 10022
NEW YORK
7820
7821
LAURANCE S ROCKEFELLER OP PAVILION
MEMORIAL SLOAN KETT CAN CTR SUFFOLK
NEW YORK, 10022
HAUPPAUGE, 11787
NEW YORK
SUFFOLK
8627
MSK AT MERCY MED CENTER
ROCKVILLE CENTRE, 11571 NASSAU
9070
BREAST AND DIAGNOSTIC IMAGING CENTER
NEW YORK, 10021
NEW YORK
9156
9176
MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES
MSKCC BROOKLYN INFUSION CENTER
NEW YORK, 10022
BROOKLYN, 11217
NEW YORK
KINGS
7002021H
7266
FAMILY HEALTH CENTER
NEW YORK, 10035
NEW YORK
7002024H
1568
AMBULATORY CARE CENTER
NEW YORK, 10029
NEW YORK
3445
MT SINAI SPORTS THERAPY CENTER
NEW YORK, 10022
NEW YORK
4435
PSYCHIATRIC OUT-PATIENT CLINIC
NEW YORK, 10029
NEW YORK
4618
4619
MANHATTAN CTR FOR MATH & SCIENCE
JULIA RICHMAN HIGH SCHOOL
NEW YORK, 10029
NEW YORK, 10021
NEW YORK
NEW YORK
4620
PS 83 MENDOZA SCHOOL
NEW YORK, 10029
NEW YORK
4621
4622
PS 108
JHS 117 (ALTERNATIVE EDUCATION COMPLEX)
NEW YORK, 10029
NEW YORK, 10029
NEW YORK
NEW YORK
4779
PS 121
NEW YORK, 10029
NEW YORK
4891
PT PROGRAM AT ASPHALT GREEN
NEW YORK, 10128
NEW YORK
5556
5645
MT SINAI HOSPITAL DIALYSIS CENTER
PRIMARY CARE CENTER
NEW YORK, 10128
ASTORIA, 11102
NEW YORK
QUEENS
5721
MT SINAI ADOLESCENT HEALTH CENTER
NEW YORK, 10128
NEW YORK
5914
5957
THE PRIMARY CARE BUILDING
SENIOR HEALTH CARE CENTER
NEW YORK, 10029
LONG ISLAND CITY, 11102
NEW YORK
QUEENS
6997
BAYARD RUSTIN EDUCATION COMPLEX (BREC)
NEW YORK, 10011
NEW YORK
7813
JOSEPH H HAZAN AMB CARDIAC CARE CTR
NEW YORK, 10029
NEW YORK
9009
9173
CENTER FOR ADVANCED MEDICINE
MOUNT SINAI COMPREHENSIVE HEALTH PROGRAM - DOWNTOWN
NEW YORK, 10029
NEW YORK, 10011
NEW YORK
NEW YORK
5675
NEW YORK EYE & EAR OUTPATIENT CTR
NEW YORK, 10003
NEW YORK
8563
NY EYE & EAR INFIRMARY EXT CLINIC
NEW YORK, 10010
NEW YORK
7002017H
7002026H
Name
Thursday, January 20, 2011
City/Zip
County
Page 25 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Opcert
PFI
7002032H
7002037H
7002053H
7002054H
7003000H
Thursday, January 20, 2011
Name
City/Zip
County
1180
AMBULATORY PSYCHIATRIC CENTER
NEW YORK, 10025
NEW YORK
3184
4567
TRINITY HOUSE
PHILIP RANDOLPH CAMPUS HS
NEW YORK, 10025
NEW YORK, 10031
NEW YORK
NEW YORK
NEW YORK
4568
MARTIN LUTHER KING JR HIGH SCHOOL
NEW YORK, 10024
4569
LOUIS BRANDEIS HIGH SCHOOL
NEW YORK, 10024
NEW YORK
6883
SLR COMMUNITY CARE AT 59TH ST
NEW YORK, 10019
NEW YORK
0333
MMTP CLINIC III
BROOKLYN, 11212
KINGS
1594
CHELSEA CLINIC
NEW YORK, 10011
NEW YORK
2612
2882
GENERAL MED CLN MUNICIPAL SHELTER
ST MARTIN DE PORRES CLINIC
NEW YORK, 10001
BROOKLYN, 11207
NEW YORK
KINGS
2884
MMTP CLINC I
BROOKLYN, 11213
KINGS
2889
3416
MMTP CLINIC II
CHINA TOWN CLINIC
BROOKLYN, 11238
NEW YORK, 10013
KINGS
NEW YORK
5919
MAXWELL INSTITUTE OF ST VINCENTS
TUCKAHOE, 10707
SUFFOLK
6278
CHELSEA MEDICAL PRACTICE&SR HLTH
NEW YORK, 10001
NEW YORK
6564
7828
WHITE PLAINS SATELLITE
ST VINCENTS COMP CANCER CENTER
WHITE PLAINS, 10601
NEW YORK, 10011
ROCKLAND
NEW YORK
4428
HASSENFELD CHILDRENS CENTER
NEW YORK, 10016
NEW YORK
6649
7717
NYUHC ONOCOLOGY EXT CLINIC
TRANSPLANT AND EPILEPSY CLINIC
NEW YORK, 10016
NEW YORK, 10016
NEW YORK
NEW YORK
8603
NYU HOSPS CENTER ADULT INFUSION CENTER
NEW YORK, 10016
NEW YORK
9127
NYU HOSPITALS CENTER COLUMBUS IMAGING AND INFUSION
CENTER
REGO PARK, 11374
QUEENS
3676
FORT WASHINGTON HOUSES
NEW YORK, 10032
NEW YORK
3995
BROADWAY CLINIC
NEW YORK, 10034
NEW YORK
4662
4690
WASHINGTON HEIGHTS FAMILY CTR
IS 164 EDWARD W. STITT
NEW YORK, 10032
NEW YORK, 10032
NEW YORK
NEW YORK
4691
IS 52 INWOOD
NEW YORK, 10034
NEW YORK
4692
4693
IS 143 ELEANOR ROOSEVELT
IS 136
NEW YORK, 10033
NEW YORK, 10032
NEW YORK
NEW YORK
5560
GEORGE WASHINGTON HIGH SCHOOL
NEW YORK, 10034
NEW YORK
5725
NEW YORK HOSP CARDIAC HEALTH CENTER
NEW YORK, 10021
NEW YORK
6028
6029
WASHINGTON HGHTS ACNC-AUDUBON
FAMILY MEDICINE H.D.FARRELL,JR PRACTICE
NEW YORK, 10032
NEW YORK, 10032
NEW YORK
NEW YORK
6882
PROMISE ACADEMY
NEW YORK, 10035
NEW YORK
6985
6986
THURGOOD MARSHALL ACADEMY
AVON FOUNDATION BREAST IMAGING CTR
NEW YORK, 10030
NEW YORK, 10032
NEW YORK
NEW YORK
7288
CHELSEA CENTER FOR SPECIAL STUDIES
NEW YORK, 10011
NEW YORK
7664
CHARLES B RANGEL COMM HLTH CTR
NEW YORK, 10031
NEW YORK
7683
I. SHERWOOD WRIGHT CTR FOR AGING
NEW YORK, 10021
NEW YORK
5579
CORONA DISTRICT HEALTH CENTER
CORONA, 11372
QUEENS
5581
RIDGEWOOD COMMUNICARE CLINIC
RIDGEWOOD, 11385
QUEENS
5593
5611
WOODSIDE HOUSES CHILD HEALTH CLINIC
CORONA CHILD HEALTH CLINIC
WOODSIDE, 11377
CORONA, 11368
QUEENS
QUEENS
6114
WOMENS MEDICAL CTR AT CORONA
CORONA, 11368
QUEENS
7871
8600
IS 145
LONG ISLAND CITY HIGH SCHOOL
JACKSON HEIGHTS, 11372
QUEENS, 11106
QUEENS
QUEENS
Page 26 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
County
7003003H
3942
MEDISYS FAMILY CARE CENTER
JAMAICA, 11435
QUEENS
5934
5981
MEDISYS FAMILY CARE CENTER
MEDISYS HOWARD BEACH WOMEN&CHILDREN CARE
JAMAICA, 11423
HOWARD BEACH, 11414
QUEENS
QUEENS
6301
PS 155
SOUTH OZONE, 11420
QUEENS
6302
PS 223
SOUTH OZONE, 11434
QUEENS
6303
7084
CAMPUS MAGNET HIGH SCHOOL
MEDWISE CENTER
CAMBRIA HEIGHTS, 11411
OZONE PARK, 11416
QUEENS
QUEENS
7569
MEDISYS FAMILY CARE CENTER
JAMAICA, 11418
QUEENS
1595
1596
ELMONT ALCOHOL TREATMENT CENTER
FAMILY CONSULTATION CLINIC
ELMONT, 11003
MINEOLA, 11501
NASSAU
NASSAU
7003004H
7003007H
7003010H
7003027H
2636
MANHASSET DAY CENTER CLINIC
MANHASSET, 11030
NASSAU
2641
2643
PROJECT OUTREACH CLINIC
LIJMC-SATELLITE DIALYSIS FACILITY
WEST HEMPSTEAD, 11552
QUEENS VILLAGE, 11427
NASSAU
QUEENS
3088
FAR ROCKAWAY TREATMENT CENTER
FAR ROCKAWAY, 11691
QUEENS
3983
NASSAU DAY TRAINING PROGRAM
HICKSVILLE, 11801
NASSAU
4211
4415
EARLY CHILDHOOD INTERVENTION PROGRAM
MANHASSET AMBULATORY CARE CENTER
LAKE SUCCESS, 11042
MANHASSET, 11030
NASSAU
NASSAU
4778
FRANKLIN K LANE
BROOKLYN, 11208
KINGS
6281
6421
PEDIATRIC & ADOLESCENT MED CLINIC
LONG ISLAND JEWISH EYE CARE CTR
NEW HYDE PARK, 11040
GREAT NECK, 11021
NASSAU
NASSAU
6976
NORTH SHORE-LIJ AMB SURG CTR
LAKE SUCCESS, 11020
NASSAU
3877
4417
PRIMARY CARE CLINIC
NEIGHBORHOOD HELP CENTER
JAMAICA, 11434
JAMAICA, 11434
QUEENS
QUEENS
5584
HILLSIDE AVENUE
JAMAICA, 11432
QUEENS
5591
WALTHAM GARDENS HOUSES CHILD HC
JAMAICA, 11436
QUEENS
5618
6175
PARSONS MEDICAL CENTER
QUEENS HLTH NET SPRINGFIELD GARDENS
QUEENS
QUEENS
7869
PS 86
JAMAICA, 11432
SPRINGFIELD GARDENS,
11413
JAMAICA, 11432
9078
SPRINGFIELD GARDENS EDUCATIONAL CAMPUS
SPRINGFIELD GARDENS,
11413
QUEENS
2670
TRUDE WEISHAUPT MEM SAT DIAL CTR
FRESH MEADOWS, 11365
QUEENS
4805
5549
THE CARDIAC HEALTH CENTER
MEDICAL EXTENSION CLINIC OF NYHMCQ
FRESH MEADOWS, 11365
FLUSHING, 11367
QUEENS
QUEENS
5551
IMMEDIATE CARE CENTER
ASTORIA, 11102
QUEENS
5740
5966
NY HOSP OF QUEENS-PRIMARY MEDICAL CARE CLN
FAMILY HEALTH CENTER
FRESH MEADOWS, 11365
FLUSHING, 11355
QUEENS
QUEENS
6139
CTR FOR DEV DISABILITY & NEURO SCI
FLUSHING, 11365
QUEENS
6834
OBSTETRICAL CLINIC AT NYHMCQ
FRESH MEADOWS, 11365
QUEENS
6904
7116
NY HOSPITAL QUEENS SPECIAL CARE CTR
HOLLIS WOMEN'S CENTER
FLUSHING, 11356
HOLLIS, 11423
QUEENS
QUEENS
7600
JACKSON HEIGHTS FAMILY HEALTH CENTER
JACKSON HEIGHTS, 11372
QUEENS
8604
NEW YORK HOSP QUEENS EYE CENTER
FLUSHING, 11355
QUEENS
0514
MARY IMMAC HOSP DIV MMTP UNITS I & II
JAMAICA, 11435
QUEENS
QUEENS
Page 27 of 28
SPARCS Expanded Outpatient Data Collection (EODC)
PHASE 2: Hospital Outpatient Extension Clinics
Grouped By Operating Certificate
Thursday, January 20, 2011
Opcert
PFI
Name
City/Zip
7004003H
3096
SOUTH BEACH PSYCHIATRIC CENTER
STATEN ISLAND, 10305
RICHMOND
3501
4689
SANFORD R NALITT INST FOR CANCER
NEW DORP HIGH SCHOOL
STATEN ISLAND, 10305
STATEN ISLAND, 10306
RICHMOND
RICHMOND
RICHMOND
7004010H
County
4804
THE BAY STREET HEALTH CENTER
STATEN ISLAND, 10301
6137
CONEY ISLAND MULTI SERVICE CENTER
BROOKLYN, 11218
KINGS
6138
7021
CANARSIE MULTI SERVICE CENTER
AUDIOLOGY/SPEECH PATHOLOGY CENTER
BROOKLYN, 11218
STATEN ISLAND, 10305
KINGS
RICHMOND
7022
PSYCH/ALCOHOLISM TREATMENT PGM
STATEN ISLAND, 10305
RICHMOND
7603
7615
CENTER FOR WOMENS HEALTH
SI CHEMICAL DPDNC TRTMNT CTR
STATEN ISLAND, 10305
STATEN ISLAND, 10304
RICHMOND
RICHMOND
3940
ALCOHOLISM SERVICES ON N RICHMOND
STATEN ISLAND, 10304
RICHMOND
4080
4751
CONTINUING TREATMENT PROGRAM
FOREST AVE ALCOHOL TRMT EXT CLINIC
STATEN ISLAND, 10314
STATEN ISLAND, 10310
RICHMOND
RICHMOND
7614
REG IMAGING AND THERAPEUTIC RAD SVCS
STATEN ISLAND, 10310
RICHMOND
Page 28 of 28