| Beacon Christian Community Health Center Inc | |
|
2031 Forest Ave Staten Island NY 10303-1733 | |
| (718) 815-6560 | |
| (718) 815-6576 |
| Full Name | Beacon Christian Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2031 Forest Ave, Staten Island, New York |
| Authorized Official Name and Position | David H Kim (CEO) |
| Authorized Official Contact | 7188156560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Christian Community Health Center Inc 2079 Forest Ave Staten Island NY 10303-1865 Ph: (718) 815-6560 | Beacon Christian Community Health Center Inc 2031 Forest Ave Staten Island NY 10303-1733 Ph: (718) 815-6560 |
| NPI Number | 1750700902 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 06/27/2016 |
| Medicare PECOS PAC ID | 7719078856 |
|---|---|
| Medicare Enrollment ID | O20170105000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750700902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
All Island Physician Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-3327 | |
Im Care Family Health Np Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3974 Amboy Rd Ste 302, Staten Island, NY 10308 Phone: 718-967-1071 | |
Richmond Primary Care Specialists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Seguine Ave, Suite 1, Staten Island, NY 10309 Phone: 718-967-8300 Fax: 718-967-8335 | |
S & G Medical Services, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Victory Blvd Unit A, Staten Island, NY 10314 Phone: 718-331-6064 | |
Onecare Health-advanced Practice Health & Wellness Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97 Port Richmond Ave, Staten Island, NY 10302 Phone: 347-460-1239 | |
Dongan Hills Medical Practice,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1487 Richmond Rd, Staten Island, NY 10304 Phone: 718-979-3643 Fax: 718-987-2655 | |
Internal Medicine Associates Of Richmond County Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 Victory Boulevard, Staten Island, NY 10314 Phone: 718-761-4400 Fax: 718-698-0878 |