| Jerome Avenue Men's Shelter (jams) Health Center | |
|
3600 Jerome Ave Bronx NY 10467-1052 | |
| (212) 366-4459 | |
| (212) 366-4585 |
| Full Name | Jerome Avenue Men's Shelter (jams) Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3600 Jerome Ave, Bronx, New York |
| Authorized Official Name and Position | John Flynn Chue (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2123554459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Avenue Men's Shelter (jams) Health Center 30 E 33rd St Fl 5 New York NY 10016-5337 Ph: (212) 366-4459 | Jerome Avenue Men's Shelter (jams) Health Center 3600 Jerome Ave Bronx NY 10467-1052 Ph: (212) 366-4459 |
| NPI Number | 1164983482 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 05/10/2024 |
| Medicare PECOS PAC ID | 9830240332 |
|---|---|
| Medicare Enrollment ID | O20220715000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164983482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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