| Metro Community Health Centers, Inc. | |
|
2324 Forest Ave Staten Island NY 10303-1506 | |
| (718) 447-0200 | |
| (718) 981-1431 |
| Full Name | Metro Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2324 Forest Ave, Staten Island, New York |
| Authorized Official Name and Position | Fred Wong (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2129475770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Community Health Centers, Inc. 330 W 34th St Fl 15 New York NY 10001-2406 Ph: (212) 947-5770 | Metro Community Health Centers, Inc. 2324 Forest Ave Staten Island NY 10303-1506 Ph: (718) 447-0200 |
| NPI Number | 1649516352 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 8921227687 |
|---|---|
| Medicare Enrollment ID | O20160223001106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649516352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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