Protect Samaritan Health Services | |
137-50 Jamaica Avenue Jamaica NY 11435 | |
(718) 298-5100 | |
(718) 298-5128 |
Full Name | Protect Samaritan Health Services |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 137-50 Jamaica Avenue, Jamaica, New York |
Authorized Official Name and Position | John Chue (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7186571100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Protect Samaritan Health Services 138-02 Queens Boulevard Briarwood NY 11435 Ph: (718) 657-1100 | Protect Samaritan Health Services 137-50 Jamaica Avenue Jamaica NY 11435 Ph: (718) 298-5100 |
NPI Number | 1992193874 |
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Provider Enumeration Date | 12/31/2014 |
Last Update Date | 12/31/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992193874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7003246R (New York) | Primary |
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