COMMUNITY HEALTH CENTER OF RICHMOND INC NPI 1952739054

NPI Information

NPI: 1952739054
Provider Name: COMMUNITY HEALTH CENTER OF RICHMOND INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 33D0938281

Address:
439 PORT RICHMOND AVE
STATEN ISLAND, NY
ZIP 10302
Phone: (718) 924-2254
Get Directions

COMMUNITY HEALTH CENTER OF RICHMOND INC is a federally qualified health center (fqhc) clinic center in Staten Island, NY. COMMUNITY HEALTH CENTER OF RICHMOND INC NPI is 1952739054. The provider is registered as an organization entity type.

The provider's business location address is:

439 PORT RICHMOND AVE
STATEN ISLAND, NY
ZIP 10302-714
Phone: (718) 924-2254

The provider's authorized official is Henry Thompson .
The authorized official title is Ceo and has the following contact phone number (718) 924-2254.

The CLIA number assigned to this NPI record is 33D0938281 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/29/2013.

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)			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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