| Community Health Center Of Richmond Inc | |
|
439 Port Richmond Ave Staten Island NY 10302-1714 | |
| (718) 924-2254 | |
| Not Available |
| Full Name | Community Health Center Of Richmond Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 439 Port Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Henry Thompson (CEO) |
| Authorized Official Contact | 7189242254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Richmond Inc 235 Port Richmond Ave Staten Island NY 10302-1701 Ph: (718) 924-2254 | Community Health Center Of Richmond Inc 439 Port Richmond Ave Staten Island NY 10302-1714 Ph: (718) 924-2254 |
| NPI Number | 1952739054 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952739054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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