BEACON CHRISTIAN COMMUNITY HEALTH CENTER INC. NPI 1639246358

NPI Information

NPI: 1639246358
Provider Name: BEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2079 FOREST AVE
STATEN ISLAND, NY
ZIP 10303
Phone: (718) 815-6560
Get Directions

BEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Staten Island, NY. BEACON CHRISTIAN COMMUNITY HEALTH CENTER, INC. NPI is 1639246358. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2079 FOREST AVE
STATEN ISLAND, NY
ZIP 10303-735
Phone: (718) 815-6560
Fax: (718) 815-6576

The provider's authorized official is David Hoi Kim .
The authorized official title is Ceo and has the following contact phone number (718) 815-6560.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 4/7/2023.

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	207Q00000X	Family Medicine		7004209R	NEW YORK	No
2	207R00000X	Internal Medicine		7004209R	NEW YORK	No
3	207V00000X	Obstetrics & Gynecology		7004209R	NEW YORK	No
4	208000000X	Pediatrics		7004209R	NEW YORK	No
5	213E00000X	Podiatrist		7004209R	NEW YORK	No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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

NPI Synchronization or Removal

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