Provider Demographics
NPI:1053182139
Name:THE ON CALL FAMILY HEALTH NURSE PRACTITIONER
Entity type:Organization
Organization Name:THE ON CALL FAMILY HEALTH NURSE PRACTITIONER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY HEALTH NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:518-249-6889
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:WEST SAND LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12196-0183
Mailing Address - Country:US
Mailing Address - Phone:518-738-7384
Mailing Address - Fax:
Practice Address - Street 1:26 MALL WAY STE 20
Practice Address - Street 2:
Practice Address - City:WEST SAND LAKE
Practice Address - State:NY
Practice Address - Zip Code:12196-2064
Practice Address - Country:US
Practice Address - Phone:518-738-7384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty