| North Hudson Community Action Corporation | |
|
324 Palisade Ave Jersey City NJ 07307-1718 | |
| (201) 459-8866 | |
| (201) 239-0318 |
| Full Name | North Hudson Community Action Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 324 Palisade Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Michael Shababb (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 |
|---|---|
| North Hudson Community Action Corporation 800 31st St Union City NJ 07087-2428 Ph: (201) 210-0100 | North Hudson Community Action Corporation 324 Palisade Ave Jersey City NJ 07307-1718 Ph: (201) 459-8866 |
| NPI Number | 1134374143 |
|---|---|
| Provider Enumeration Date | 11/19/2008 |
| Last Update Date | 05/28/2013 |
| Medicare PECOS PAC ID | 6103887997 |
|---|---|
| Medicare Enrollment ID | O20041025000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134374143 | NPI | - | NPPES |
| 0022730 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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