| Schuyler Achievement Health Center | |
|
676 Clinton Ave Albany NY 12206-2216 | |
| (518) 475-5723 | |
| Not Available |
| Full Name | Schuyler Achievement Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 676 Clinton Ave, Albany, New York |
| Authorized Official Name and Position | David Harold Shippee (PRESIDENT & CEO) |
| Authorized Official Contact | 5185914459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schuyler Achievement Health Center 920 Lark Dr Albany NY 12207-1300 Ph: () - | Schuyler Achievement Health Center 676 Clinton Ave Albany NY 12206-2216 Ph: (518) 475-5723 |
| NPI Number | 1689947756 |
|---|---|
| Provider Enumeration Date | 02/20/2012 |
| Last Update Date | 12/18/2018 |
| Medicare PECOS PAC ID | 6507830031 |
|---|---|
| Medicare Enrollment ID | O20181226000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689947756 | NPI | - | NPPES |
| 00473565 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0101205R (New York) | Primary |
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