Open Door Family Medical Center Inc in Sleepy Hollow - Federally Qualified Health Center (fqhc)

Open Door Family Medical Center Inc - NPI 1619136140

Open Door Family Medical Center Inc is a Federally Qualified Health Center (fqhc) in Sleepy Hollow, New York. Open Door Family Medical Center Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Open Door Family Medical Center Inc is 1619136140. The last update date is 2018-03-12.

Open Door Family Medical Center Inc's current location address is 300 N Broadway, Sleepy Hollow, New York. You can contact this provider via phone number 9146314141 and fax number 9145248594. The mailing address for Open Door Family Medical Center Inc is 300 N Broadway, Sleepy Hollow, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Open Door Family Medical Center Inc
Address 300 N Broadway, Sleepy Hollow, New York
Phone Number 9146314141
Fax Number 9145248594
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Farrell C. Lindsay
Credentials MBA FACMPE
Telephone Number 9145021450

NPI Number Detail

NPI Number 1619136140
Provider Enumeration Date 2008-06-09
Last Updated Date 2018-03-12

Provider Mailing Address Detail

Address 300 N Broadway
City Sleepy Hollow
State New York (NY)
Post Code 105912370
Phone Number 9146314141
Fax Number 9145248594

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 5905200R
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3003587 NY --

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FAQs about Open Door Family Medical Center Inc

What is the unique 10-digit identification code assigned to Open Door Family Medical Center Inc by the Centers for Medicare & Medicaid Services?

The Open Door Family Medical Center Inc has been issued the NPI (National Provider Identifier) 1619136140, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Open Door Family Medical Center Inc is located?

The Open Door Family Medical Center Inc is situated at the following address: 300 N Broadway, Sleepy Hollow, NY, 105912370.

What is the Open Door Family Medical Center Inc's area of specialization and corresponding taxonomy classification?

The Open Door Family Medical Center Inc's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619136140 to Open Door Family Medical Center Inc?

The Centers for Medicare & Medicaid Services originally issued the 1619136140 to Open Door Family Medical Center Inc on 2008-06-09.

As of what date were the details pertaining to Open Door Family Medical Center Inc last refreshed?

The information related to the Open Door Family Medical Center Inc, including its address, specialty, and other relevant details, was last updated on 2018-03-12.

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