Anthony L. Jordan Health Corporation in Rochester - Federally Qualified Health Center (fqhc)
Anthony L. Jordan Health Corporation - NPI 1083716088
Anthony L. Jordan Health Corporation is a Federally Qualified Health Center (fqhc) in Rochester, New York. Anthony L. Jordan Health Corporation practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Anthony L. Jordan Health Corporation is 1083716088. The last update date is 2019-06-26.
Anthony L. Jordan Health Corporation's current location address is 82 Holland Street, Rochester, New York. You can contact this provider via phone number 5854235800 and fax number 5854232890. The mailing address for Anthony L. Jordan Health Corporation is 82 Holland Street, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anthony L. Jordan Health Corporation |
|---|---|
| Address | 82 Holland Street, Rochester, New York |
| Phone Number | 5854235800 |
| Fax Number | 5854232890 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HR CREDENT |
|---|---|
| Authorized Official Name | Graham Monica |
| Telephone Number | 5854232816 |
NPI Number Detail
| NPI Number | 1083716088 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2019-06-26 |
Provider Mailing Address Detail
| Address | 82 Holland Street |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146052131 |
| Phone Number | 5854235800 |
| Fax Number | 5854232890 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G0187295590 | NY | BLUE CHOICE OF ROCHESTER | |
| 16467A | NY | MEDICARE PART B | |
| 331838 | NY | MEDICARE PART A | |
| 384969 | NY | -- | |
| 6613 | NY | BLUE CROSS OF ROCHESTER |
Post Comment/ Review Below
What is the unique identifier code issued to Anthony L. Jordan Health Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Anthony L. Jordan Health Corporation has been assigned the NPI (National Provider Identifier) 1083716088. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Anthony L. Jordan Health Corporation is located?
The Anthony L. Jordan Health Corporation is situated at the following address: 82 Holland Street, Rochester, NY, 146052131.
What is Anthony L. Jordan Health Corporation's area of expertise and its corresponding taxonomy classification?
The Anthony L. Jordan Health Corporation's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Anthony L. Jordan Health Corporation receive its 1083716088 assignment from the Centers for Medicare & Medicaid Services?
The Anthony L. Jordan Health Corporation was assigned its 1083716088 by the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the information related to Anthony L. Jordan Health Corporation most recently updated or refreshed?
The details pertaining to the Anthony L. Jordan Health Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-06-26.