| Newark Community Health Centers, Inc. | |
|
741 Broadway Newark NJ 07104-4309 | |
| (973) 483-1300 | |
| (973) 483-3787 |
| Full Name | Newark Community Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 741 Broadway, Newark, New Jersey |
| Authorized Official Name and Position | Pamela Clarke (PRESIDENT AND CEO) |
| Authorized Official Contact | 8734831300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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. 741 Broadway Newark NJ 07104-4309 Ph: (973) 483-1300 |
| NPI Number | 1740345693 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 09/19/2019 |
| Medicare PECOS PAC ID | 2163334665 |
|---|---|
| Medicare Enrollment ID | O20081027000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740345693 | NPI | - | NPPES |
| 0042803 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 70777 (New Jersey) | Primary |
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