| Project Samaritan Health Services | |
|
89-56 162nd Street Jamaica NY 11432 | |
| (347) 505-7000 | |
| (347) 505-2500 |
| Full Name | Project Samaritan Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 89-56 162nd Street, Jamaica, New York |
| Authorized Official Name and Position | John Chue (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7186571100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Samaritan Health Services 138-02 Queens Boulevard, 2nd Floor Briarwood NY 11435 Ph: (718) 657-1100 | Project Samaritan Health Services 89-56 162nd Street Jamaica NY 11432 Ph: (347) 505-7000 |
| NPI Number | 1487923595 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/02/2016 |
| Medicare PECOS PAC ID | 6507849882 |
|---|---|
| Medicare Enrollment ID | O20220214001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487923595 | NPI | - | NPPES |
| 01690633 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 7003246R (New York) | Secondary |
| 261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (New York) | Primary |
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