Oda Primary Health Care Network, Inc. | |
60 Jefferson St Suite 1 Monticello NY 12701-1122 | |
(718) 260-4600 | |
Not Available |
Full Name | Oda Primary Health Care Network, Inc. |
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Speciality | Clinic/Center |
Location | 60 Jefferson St, Monticello, New York |
Authorized Official Name and Position | Rose Rosenfeld (CFO) |
Authorized Official Contact | 7182604600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oda Primary Health Care Network, Inc. 14 Heyward St Brooklyn NY 11249-7823 Ph: (718) 260-4600 | Oda Primary Health Care Network, Inc. 60 Jefferson St Suite 1 Monticello NY 12701-1122 Ph: (718) 260-4600 |
NPI Number | 1376091363 |
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Provider Enumeration Date | 09/19/2016 |
Last Update Date | 01/04/2022 |
Medicare PECOS PAC ID | 8729123815 |
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Medicare Enrollment ID | O20150819009123 |
Identifier | Type | State | Issuer |
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1376091363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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