| Metro Community Health Centers, Inc. | |
|
5140 59th St Woodside NY 11377-7413 | |
| (718) 639-2931 | |
| (718) 334-0399 |
| Full Name | Metro Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5140 59th St, Woodside, 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. 40 Rector St Fl 15 New York NY 10006-1722 Ph: (212) 947-5770 | Metro Community Health Centers, Inc. 5140 59th St Woodside NY 11377-7413 Ph: (718) 639-2931 |
| NPI Number | 1457697161 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 06/28/2019 |
| Medicare PECOS PAC ID | 8921227687 |
|---|---|
| Medicare Enrollment ID | O20160914001419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457697161 | NPI | - | NPPES |
| 04238602 | Medicaid | NY | |
| 571011 | Other | NY | CMS CERTIFICATION |
| 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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