| Sheridan Preparatory Health Center | |
|
400 Sheridan Ave Albany NY 12206-2920 | |
| (518) 465-4771 | |
| Not Available |
| Full Name | Sheridan Preparatory Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Sheridan 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 |
|---|---|
| Sheridan Preparatory Health Center 920 Lark Drive Whitney M. Young Jr. Inc. Albany NY 12207 Ph: (518) 465-4771 | Sheridan Preparatory Health Center 400 Sheridan Ave Albany NY 12206-2920 Ph: (518) 465-4771 |
| NPI Number | 1023381100 |
|---|---|
| Provider Enumeration Date | 02/20/2012 |
| Last Update Date | 12/18/2018 |
| Medicare PECOS PAC ID | 6507830031 |
|---|---|
| Medicare Enrollment ID | O20181226000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023381100 | 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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