North Hudson Community Action Corporation Health Center | |
197 Van Brunt St Englewood NJ 07631-4010 | |
(201) 537-4442 | |
Not Available |
Full Name | North Hudson Community Action Corporation Health Center |
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Speciality | Clinic/Center |
Location | 197 Van Brunt St, Englewood, New Jersey |
Authorized Official Name and Position | Christopher F Irizarry (PRESIDENT/CEO) |
Authorized Official Contact | 2018662388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Hudson Community Action Corporation Health Center 800 31st St Union City NJ 07087-2428 Ph: (201) 210-0200 | North Hudson Community Action Corporation Health Center 197 Van Brunt St Englewood NJ 07631-4010 Ph: (201) 537-4442 |
NPI Number | 1902167463 |
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Provider Enumeration Date | 05/31/2012 |
Last Update Date | 06/06/2012 |
Medicare PECOS PAC ID | 6103887997 |
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Medicare Enrollment ID | O20121119000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902167463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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