| Community Health Center Of Richmond, Inc | |
|
235 Port Richmond Avenue Staten Island NY 10302-1701 | |
| (718) 876-1732 | |
| (718) 442-0189 |
| Full Name | Community Health Center Of Richmond, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 235 Port Richmond Avenue, Staten Island, New York |
| Authorized Official Name and Position | Lucie Gabriel (DIRECTOR OF PATIENT FINANCIAL SERVI) |
| Authorized Official Contact | 7189242254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Richmond, Inc 235 Port Richmond Avenue Staten Island NY 10302-1701 Ph: (718) 924-2254 | Community Health Center Of Richmond, Inc 235 Port Richmond Avenue Staten Island NY 10302-1701 Ph: (718) 876-1732 |
| NPI Number | 1114137403 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/24/2013 |
| Medicare PECOS PAC ID | 5597829416 |
|---|---|
| Medicare Enrollment ID | O20090121000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114137403 | NPI | - | NPPES |
| 7004210R | Other | NY | OPERATING CERTIFICATE # |
| 2903588 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 2903588 (New York) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 7004210R (New York) | Secondary |
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 | |
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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 | |
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