| Newark Community Health Center@nesf | |
|
982 Broad St Newark NJ 07102-2503 | |
| (973) 353-0699 | |
| (973) 353-9743 |
| Full Name | Newark Community Health Center@nesf |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 982 Broad St, Newark, New Jersey |
| Authorized Official Name and Position | Peter R Velez (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 Center@nesf 982 Broad St Newark NJ 07102-2503 Ph: (973) 353-0699 | Newark Community Health Center@nesf 982 Broad St Newark NJ 07102-2503 Ph: (973) 353-0699 |
| NPI Number | 1548431091 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 05/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548431091 | NPI | - | NPPES |
| 0055590 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 23148 (New Jersey) | Primary |
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