Beacon Christian Community Health Center, Inc. in Staten Island - Federally Qualified Health Center (fqhc)
Beacon Christian Community Health Center, Inc. - NPI 1639246358
Beacon Christian Community Health Center, Inc. is a Federally Qualified Health Center (fqhc) in Staten Island, New York. Beacon Christian Community Health Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Beacon Christian Community Health Center, Inc. is 1639246358. The last update date is 2023-04-07.
Beacon Christian Community Health Center, Inc.'s current location address is 2079 Forest Ave, Staten Island, New York. You can contact this provider via phone number 7188156560 and fax number 7188156570. The mailing address for Beacon Christian Community Health Center, Inc. is 2079 Forest Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beacon Christian Community Health Center, Inc. |
|---|---|
| Address | 2079 Forest Ave, Staten Island, New York |
| Phone Number | 7188156560 |
| Fax Number | 7188156570 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kim Hoi David |
| Credentials | MD |
| Telephone Number | 7188156560 |
NPI Number Detail
| NPI Number | 1639246358 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2023-04-07 |
Provider Mailing Address Detail
| Address | 2079 Forest Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103031735 |
| Phone Number | 7188156560 |
| Fax Number | 7188156570 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the Beacon Christian Community Health Center, Inc.'s 1639246358?
The Beacon Christian Community Health Center, Inc.'s NPI (National Provider Identifier) Number is 1639246358. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Beacon Christian Community Health Center, Inc. located?
The Beacon Christian Community Health Center, Inc. is located at 2079 Forest Ave, Staten Island, NY 103031735.
What is the Beacon Christian Community Health Center, Inc.'s specialty and taxonomy code?
The Beacon Christian Community Health Center, Inc.'s specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
When did Beacon Christian Community Health Center, Inc. receive its 1639246358 assignment?
The Beacon Christian Community Health Center, Inc. was assigned its 1639246358 on 2006-11-29, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Beacon Christian Community Health Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Beacon Christian Community Health Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-07.
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