| Newark Department Of Health And Community Wellness - Mobile Van Unit | |
|
110 William St Newark NJ 07102-1304 | |
| (973) 877-6111 | |
| (973) 733-4328 |
| Full Name | Newark Department Of Health And Community Wellness - Mobile Van Unit |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 110 William St, Newark, New Jersey |
| Authorized Official Name and Position | Oluyinka Fadahunsi (FINANCIAL OPERATIONS OFFICER) |
| Authorized Official Contact | 9737337558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Department Of Health And Community Wellness - Mobile Van Unit 36 Victoria St Newark NJ 07114-1414 Ph: (973) 877-6111 | Newark Department Of Health And Community Wellness - Mobile Van Unit 110 William St Newark NJ 07102-1304 Ph: (973) 877-6111 |
| NPI Number | 1548678303 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548678303 | NPI | - | NPPES |
| 0463132 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 24148 (New Jersey) | Primary |
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