| Whitney M. Young, Jr. Health Center, Inc. | |
|
849 2nd Ave Troy NY 12182-2085 | |
| (518) 833-6900 | |
| Not Available |
| Full Name | Whitney M. Young, Jr. Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 849 2nd Ave, Troy, New York |
| Authorized Official Name and Position | David H Shippee (CEO) |
| Authorized Official Contact | 5184654771 |
| 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: () - | Whitney M. Young, Jr. Health Center, Inc. 849 2nd Ave Troy NY 12182-2085 Ph: (518) 833-6900 |
| NPI Number | 1083864458 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 6507830031 |
|---|---|
| Medicare Enrollment ID | O20080303000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083864458 | NPI | - | NPPES |
| 00473565 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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