| City Of Newark | |
|
350 Washington Street Newark NJ 07102 | |
| (800) 734-7083 | |
| Not Available |
| Full Name | City Of Newark |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 350 Washington Street, Newark, New Jersey |
| Authorized Official Name and Position | Ketlen Alsbrook (CEO & DIRECTOR) |
| Authorized Official Contact | 9737335310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Newark 110 William St Newark NJ 07102-1304 Ph: (973) 424-4271 | City Of Newark 350 Washington Street Newark NJ 07102 Ph: (800) 734-7083 |
| NPI Number | 1104647635 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104647635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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