ANTHONY L. JORDAN HEALTH CORPORATION NPI 1083716088

NPI Information

NPI: 1083716088
Provider Name: ANTHONY L. JORDAN HEALTH CORPORATION
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
82 HOLLAND STREET
ROCHESTER, NY
ZIP 14605
Phone: (585) 423-5800
Get Directions

ANTHONY L. JORDAN HEALTH CORPORATION is a federally qualified health center (fqhc) clinic center in Rochester, NY. ANTHONY L. JORDAN HEALTH CORPORATION NPI is 1083716088. The provider is registered as an organization entity type.

The provider's business location address is:

82 HOLLAND STREET
ROCHESTER, NY
ZIP 14605-131
Phone: (585) 423-5800
Fax: (585) 423-2890

The provider's authorized official is Monica Graham .
The authorized official title is Hr Credentilaing Specialist and has the following contact phone number (585) 423-2816.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 6/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		NEW YORK	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	2701211R	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16467A	OTHER	NEW YORK	MEDICARE PART B
2	00384969	MEDICAID	NEW YORK
3	331838	OTHER	NEW YORK	MEDICARE PART A
4	6613	OTHER	NEW YORK	BLUE CROSS OF ROCHESTER
5	G0187295590	OTHER	NEW YORK	BLUE CHOICE OF ROCHESTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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