institution
Anthony L. Jordan Health Corporation
Federally Qualified Health Center (FQHC) in Rochester, New York
NPI 1083716088

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 1083716088 and holds a License No. 2701211R (New York).

The current practice location address for Anthony L. Jordan Health Corporation is 82 Holland Street, Rochester, NY and can be reached out via phone at 585-423-5800 and via fax at 585-423-2890. You can also correspond with Anthony L. Jordan Health Corporation through the mailing address at 82 HOLLAND STREET, ROCHESTER, NY - 14605-2131 (mailing address contact number: 585-423-2816).

Location: 82 Holland Street, Rochester, NY, 14605-2131
institution
Provider Profile Details
NPI Number
1083716088
Provider Name
Anthony L. Jordan Health Corporation
Credential
Provider Entity Type
Organization
Address
82 Holland Street, Rochester, NY, 14605-2131
Phone Number
585-423-5800
Fax Number
585-423-2890
Provider Enumeration Date
09/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G0187295590 01 NY BLUE CHOICE OF ROCHESTER
16467A 01 NY MEDICARE PART B
331838 01 NY MEDICARE PART A
00384969 05 NY
6613 01 NY BLUE CROSS OF ROCHESTER
institution
Provider Business Practice Location Address Details
Address
82 Holland Street
City
State
Zip
14605-2131
Phone Number
585-423-5800
Fax Number
585-423-2890
person
Provider Business Mailing Address Details
Address
82 Holland Street
City
State
Zip
14605-2131
Phone Number
585-423-2816
Fax Number
585-423-2853
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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