| Freehold Family Health Center | |
|
597 Park Ave Ste B Freehold NJ 07728-2590 | |
| (732) 294-2540 | |
| (732) 294-9328 |
| Full Name | Freehold Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 597 Park Ave Ste B, Freehold, New Jersey |
| Authorized Official Name and Position | Darlene Rice (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7325025144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freehold Family Health Center 806 5th Ave Asbury Park NJ 07712-5363 Ph: (732) 502-5144 | Freehold Family Health Center 597 Park Ave Ste B Freehold NJ 07728-2590 Ph: (732) 294-2540 |
| NPI Number | 1609343912 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 07/14/2023 |
| Medicare PECOS PAC ID | 1456250679 |
|---|---|
| Medicare Enrollment ID | O20190416000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609343912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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