NPI: 1831712629
Provider Name: CORNERSTONE FAMILY HEALTHCARE
Former Legal Business Name: THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
140 HAMMOND ST
PORT JERVIS, NY
ZIP 12771
Phone: (845) 563-8000
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CORNERSTONE FAMILY HEALTHCARE is a federally qualified health center (fqhc) clinic center in Port Jervis, NY. CORNERSTONE FAMILY HEALTHCARE NPI is 1831712629. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Greater Hudson Valley Family Health Center, Inc..
The provider's business location address is:
140 HAMMOND ST
PORT JERVIS, NY
ZIP 12771-607
Phone: (845) 563-8000
The provider's authorized official is David Jolly .
The authorized official title is Ceo and has the following contact phone number (845) 220-3165.
The enumeration date for this NPI number is 5/27/2020 and was last updated on 1/10/2023.