| Henry J Austin Health Center, Inc | |
|
112 Ewing St Trenton NJ 08609-1004 | |
| (609) 396-9600 | |
| (609) 695-3532 |
| Full Name | Henry J Austin Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Ewing St, Trenton, New Jersey |
| Authorized Official Name and Position | Anne A. Boykin (COLLECTION/CREDENTIAL MANAGER) |
| Authorized Official Contact | 6092785976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry J Austin Health Center, Inc 112 Ewing St Trenton NJ 08609-1004 Ph: (609) 396-9600 | Henry J Austin Health Center, Inc 112 Ewing St Trenton NJ 08609-1004 Ph: (609) 396-9600 |
| NPI Number | 1114101607 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 06/03/2010 |
| Medicare PECOS PAC ID | 9739179409 |
|---|---|
| Medicare Enrollment ID | O20040720001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114101607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 22436 (New Jersey) | Primary |
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