institution
Anthony L. Jordan Health Corporation
Federally Qualified Health Center (FQHC) in Rochester, New York
NPI 1457626129

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 1457626129 and holds a License No. 2701211R (New York).

The current practice location address for Anthony L. Jordan Health Corporation is 125 Saint Paul St, Rochester, NY and can be reached out via phone at 585-325-5232 and via fax at 585-546-3485. You can also correspond with Anthony L. Jordan Health Corporation through the mailing address at 82 HOLLAND ST, ROCHESTER, NY - 14605-2131 (mailing address contact number: 585-423-5800).

Location: 125 Saint Paul St, Rochester, NY, 14605-2131
institution
Provider Profile Details
NPI Number
1457626129
Provider Name
Anthony L. Jordan Health Corporation
Credential
Provider Entity Type
Organization
Address
125 Saint Paul St, Rochester, NY, 14605-2131
Phone Number
585-325-5232
Fax Number
585-546-3485
Provider Enumeration Date
03/14/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
16467A 01 NY MEDICARE PART B
6613 01 NY BLUE CROSS OF ROCHESTER
00384969 05 NY
331838 01 NY MEDICARE PART A
G0187295590 01 NY BLUE CHOICE OF ROCHESTER
institution
Provider Business Practice Location Address Details
Address
125 Saint Paul St
City
State
Zip
14609
Phone Number
585-325-5232
Fax Number
585-546-3485
person
Provider Business Mailing Address Details
Address
82 Holland St
City
State
Zip
14605-2131
Phone Number
585-423-5800
Fax Number
585-423-2860
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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