| North Hudson Community Action Corporation Health Center- Movil Van | |
|
800 31st St Union City NJ 07087-2428 | |
| (201) 201-0100 | |
| Not Available |
| Full Name | North Hudson Community Action Corporation Health Center- Movil Van |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 800 31st St, Union City, New Jersey |
| Authorized Official Name and Position | Christopher F. Irizarry (PRESIDENT/CEO) |
| Authorized Official Contact | 2018662388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Hudson Community Action Corporation Health Center- Movil Van 5301 Broadway -movil Van West New York NEW JERSEY 07093 Ph: (201) 210-0100 | North Hudson Community Action Corporation Health Center- Movil Van 800 31st St Union City NJ 07087-2428 Ph: (201) 201-0100 |
| NPI Number | 1962756296 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 11/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962756296 | NPI | - | NPPES |
| 0282138 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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