| Whitney M. Young Jr. Health Center, Inc. | |
|
700 Washington Ave Albany NY 12203-1404 | |
| (518) 475-6290 | |
| (518) 475-6291 |
| Full Name | Whitney M. Young Jr. Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Washington Ave, Albany, New York |
| Authorized Official Name and Position | David Harold Shippee (PRESIDENT AND CEO) |
| Authorized Official Contact | 5185914459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney M. Young Jr. Health Center, Inc. 920 Lark Dr Albany NY 12207-1300 Ph: (518) 465-4771 | Whitney M. Young Jr. Health Center, Inc. 700 Washington Ave Albany NY 12203-1404 Ph: (518) 475-6290 |
| NPI Number | 1871190017 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Medicare PECOS PAC ID | 6507830031 |
|---|---|
| Medicare Enrollment ID | O20211008001428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871190017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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