| Paterson Community Health Center, Inc. | |
|
227 Broadway Paterson NJ 07501-2002 | |
| (973) 278-2600 | |
| (973) 278-0588 |
| Full Name | Paterson Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 227 Broadway, Paterson, New Jersey |
| Authorized Official Name and Position | Mary Elizabeth Garner (CEO) |
| Authorized Official Contact | 9737906594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paterson Community Health Center, Inc. 32 Clinton St Paterson NJ 07522-1775 Ph: (973) 790-6594 | Paterson Community Health Center, Inc. 227 Broadway Paterson NJ 07501-2002 Ph: (973) 278-2600 |
| NPI Number | 1669663415 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 09/10/2007 |
| Medicare PECOS PAC ID | 7315007333 |
|---|---|
| Medicare Enrollment ID | O20081120000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669663415 | NPI | - | NPPES |
| 0044342 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 82304 (New Jersey) | Primary |
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