| North Hudson Community Action Corporation | |
|
124 Grand St Hoboken NJ 07030-2510 | |
| (201) 795-9521 | |
| (201) 795-0406 |
| Full Name | North Hudson Community Action Corporation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 124 Grand St, Hoboken, New Jersey |
| Authorized Official Name and Position | Michael F Shababb (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 800 31st St Union City NJ 07087-2428 Ph: (201) 210-0100 | North Hudson Community Action Corporation 124 Grand St Hoboken NJ 07030-2510 Ph: (201) 795-9521 |
| NPI Number | 1942455951 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 05/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942455951 | NPI | - | NPPES |
| 0061654 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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