| Jordan Health At Community Place | |
|
151 Parsells Ave Jordan Health At Community Place Rochester NY 14609 | |
| (585) 454-7530 | |
| Not Available |
| Full Name | Jordan Health At Community Place |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 151 Parsells Ave, Rochester, New York |
| Authorized Official Name and Position | Janice Harbin (PRESIDENT/CEO) |
| Authorized Official Contact | 5854235800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Health At Community Place 82 Holland St Aljhc Rochester NY 14605-2131 Ph: (585) 423-5800 | Jordan Health At Community Place 151 Parsells Ave Jordan Health At Community Place Rochester NY 14609 Ph: (585) 454-7530 |
| NPI Number | 1568711596 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568711596 | NPI | - | NPPES |
| 331838 | Other | NY | MEDICARE PART A PTAN |
| 16467A | Other | NY | MEDICARE PART B PTAN |
| 04065629 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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