institution
Anthony L. Jordan Health Corporation
Federally Qualified Health Center (FQHC) in Rochester, New York
NPI 1568711596

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 1568711596 and holds a License No. (New York).

The current practice location address for Anthony L. Jordan Health Corporation is 151 Parsells Ave, Rochester, NY and can be reached out via phone at 585-454-7530. 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: 151 Parsells Ave, Rochester, NY, 14605-2131
institution
Provider Profile Details
NPI Number
1568711596
Provider Name
Anthony L. Jordan Health Corporation
Credential
Provider Entity Type
Organization
Address
151 Parsells Ave, Rochester, NY, 14605-2131
Phone Number
585-454-7530
Fax Number
Provider Enumeration Date
09/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
331838 01 NY MEDICARE PART A PTAN
16467A 01 NY MEDICARE PART B PTAN
04065629 05 NY
institution
Provider Business Practice Location Address Details
Address
151 Parsells Ave
City
State
Zip
14609
Phone Number
585-454-7530
Fax Number
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.
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Definition
Definition to come...
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