institution
Anthony L. Jordan Health Corporation
Federally Qualified Health Center (FQHC) in Rochester, New York
NPI 1497039713

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 1497039713 and holds a License No. 2701211R (New York).

The current practice location address for Anthony L. Jordan Health Corporation is 480 Genesee St, Rochester, NY and can be reached out via phone at 585-436-3040 and via fax at 585-328-3812. 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: 480 Genesee St, Rochester, NY, 14605-2131
institution
Provider Profile Details
NPI Number
1497039713
Provider Name
Anthony L. Jordan Health Corporation
Credential
Provider Entity Type
Organization
Address
480 Genesee St, Rochester, NY, 14605-2131
Phone Number
585-436-3040
Fax Number
585-328-3812
Provider Enumeration Date
10/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6613 01 NY BLUE CROSS OF ROCHESTER
331838 01 NY MEDICARE PART A
03801874 05 NY
16467A 01 NY MEDICARE PART B
G0187295590 01 NY BLUE CHOICE OF ROCHESTER
institution
Provider Business Practice Location Address Details
Address
480 Genesee St
City
State
Zip
14611-3634
Phone Number
585-436-3040
Fax Number
585-328-3812
person
Provider Business Mailing Address Details
Address
82 Holland St
City
State
Zip
14605-2131
Phone Number
585-423-5800
Fax Number
585-423-2890
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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