| Newark Community Health Centers, Inc | |
|
155 Jefferson St Newark NJ 07105-1706 | |
| (973) 589-1271 | |
| (973) 589-1272 |
| Full Name | Newark Community Health Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 155 Jefferson St, Newark, New Jersey |
| Authorized Official Name and Position | Pamela Clarke (PRESIDENT/CEO) |
| Authorized Official Contact | 9734831300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Community Health Centers, Inc 741 Broadway Newark NJ 07104-4309 Ph: (973) 483-1300 | Newark Community Health Centers, Inc 155 Jefferson St Newark NJ 07105-1706 Ph: (973) 589-1271 |
| NPI Number | 1093942153 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093942153 | NPI | - | NPPES |
| 24356 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Jersey) | Primary |
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Pri Med Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Summer Ave, Newark, NJ 07104 Phone: 973-484-2800 | |
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