institution
Anthony L. Jordan Health Corporation
Federally Qualified Health Center (FQHC) in Rochester, New York
NPI 1013291335

Anthony L. Jordan Health Corporation is a Federally Qualified Health Center (FQHC) based in Rochester, NY and is specialized in Federally Qualified Health Center (FQHC). Anthony L. Jordan Health Corporation practices in Rochester, NY. The NPI Number for Anthony L. Jordan Health Corporation is 1013291335 and holds a License No. 2701211R (New York).

The current practice location address for Anthony L. Jordan Health Corporation is 322 Lake Ave, Rochester, NY and can be reached out via phone at 585-254-6480 and via fax at 585-254-1092.

Location: 322 Lake Ave, Rochester, NY, 14605-2131
institution
Provider Profile Details
NPI Number
1013291335
Provider Name
Anthony L. Jordan Health Corporation
Credential
Provider Entity Type
Organization
Address
322 Lake Ave, Rochester, NY, 14605-2131
Phone Number
585-254-6480
Fax Number
585-254-1092
Provider Enumeration Date
10/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16467A 01 NY MEDICARE PART B
6613 01 NY BLUE CROSS OF ROCHESTER
331838 01 NY MEDICARE PART A
G0187295590 01 NY BLUE CHOICE OF ROCHESTER
03800906 05 NY
institution
Provider Business Practice Location Address Details
Address
322 Lake Ave
City
State
Zip
14608-1162
Phone Number
585-254-6480
Fax Number
585-254-1092
person
Provider Business Mailing Address Details
Address
322 Lake Ave
City
State
Zip
14608-1162
Phone Number
585-254-6480
Fax Number
585-254-1092
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2701211R (New York)
Definition
Definition to come...
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