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DAMIAN FAMILY CARE CENTERS INC. NPI 1508955592


NPI Information

NPI: 1508955592
Provider Name: DAMIAN FAMILY CARE CENTERS, INC.

Doing Business As: PROJECT SAMARITAN HEALTH SERVICES

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D0918721

Address:
137-50 JAMAICA AVENUE
JAMAICA, NY
ZIP 11435
Phone: (718) 298-5100
Get Directions

DAMIAN FAMILY CARE CENTERS, INC. is an end-stage renal disease (esrd) treatment clinic center in Jamaica, NY. DAMIAN FAMILY CARE CENTERS, INC. NPI is 1508955592. The provider is registered as an organization entity type.
The provider Is Doing Business As Project Samaritan Health Services.

The provider's business location address is:

137-50 JAMAICA AVENUE
JAMAICA, NY
ZIP 11435
Phone: (718) 298-5100
Fax: (718) 298-5130

The provider's authorized official is John Chue .
The authorized official title is Chief Finanacial Officer and has the following contact phone number (718) 657-1100.

The CLIA number assigned to this NPI record is 33D0918721 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/11/2006 and was last updated on 12/2/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentNEW YORKYes
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)7003246RNEW YORKNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133-1942MEDICARE ID-TYPE UNSPECIFIED
201690633MEDICAIDNEW YORK

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: 4/28/2024

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