| North Hudson Community Action Corporation | |
|
197 Van Brunt St Englewood NJ 07631-4010 | |
| (201) 537-4442 | |
| Not Available |
| Full Name | North Hudson Community Action Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 197 Van Brunt St, Englewood, New Jersey |
| Authorized Official Name and Position | Christopher F Irizarry (PRESIDENT/CEO) |
| Authorized Official Contact | 2018662388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Hudson Community Action Corporation 800 31st St Union City NJ 07087-2428 Ph: (201) 210-0200 | North Hudson Community Action Corporation 197 Van Brunt St Englewood NJ 07631-4010 Ph: (201) 537-4442 |
| NPI Number | 1902167463 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 07/10/2025 |
| Certification Date | 07/10/2025 |
| Medicare PECOS PAC ID | 6103887997 |
|---|---|
| Medicare Enrollment ID | O20121119000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902167463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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