Whitney M. Young Jr. Health Center, Inc. | |
700 Washington Ave Albany NY 12203-1404 | |
(518) 475-6290 | |
(518) 475-6291 |
Full Name | Whitney M. Young Jr. Health Center, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 700 Washington Ave, Albany, New York |
Authorized Official Name and Position | David Harold Shippee (PRESIDENT AND CEO) |
Authorized Official Contact | 5185914459 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Whitney M. Young Jr. Health Center, Inc. 920 Lark Dr Albany NY 12207-1300 Ph: (518) 465-4771 | Whitney M. Young Jr. Health Center, Inc. 700 Washington Ave Albany NY 12203-1404 Ph: (518) 475-6290 |
NPI Number | 1871190017 |
---|---|
Provider Enumeration Date | 10/01/2020 |
Last Update Date | 10/01/2020 |
Medicare PECOS PAC ID | 6507830031 |
---|---|
Medicare Enrollment ID | O20211008001428 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871190017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |