City Of Newark | |
140 Bergen Street Newark NJ 07103 | |
(973) 733-7600 | |
Not Available |
Full Name | City Of Newark |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 140 Bergen Street, Newark, New Jersey |
Authorized Official Name and Position | Oluyinka Fadahunsi (FINANCIAL OPERATIONS OFFICER) |
Authorized Official Contact | 9737337558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
City Of Newark 110 William St Newark NJ 07102-1304 Ph: (973) 733-7600 | City Of Newark 140 Bergen Street Newark NJ 07103 Ph: (973) 733-7600 |
NPI Number | 1336573906 |
---|---|
Provider Enumeration Date | 08/30/2013 |
Last Update Date | 01/26/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336573906 | NPI | - | NPPES |
0403563 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 70782 (New Jersey) | Primary |
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