| Mount Vernon Neighborhood Health Center, Inc. | |
|
30 S Broadway Yonkers NY 10701 | |
| (914) 968-4898 | |
| (914) 698-5496 |
| Full Name | Mount Vernon Neighborhood Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 S Broadway, Yonkers, New York |
| Authorized Official Name and Position | Maxine Lewis (DIRECTOR PATIENT FINANCIAL SERVICES) |
| Authorized Official Contact | 9149897600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Vernon Neighborhood Health Center, Inc. 107 W 4th St Mount Vernon NY 10550-4002 Ph: (914) 699-7200 | Mount Vernon Neighborhood Health Center, Inc. 30 S Broadway Yonkers NY 10701 Ph: (914) 968-4898 |
| NPI Number | 1952550055 |
|---|---|
| Provider Enumeration Date | 09/12/2008 |
| Last Update Date | 08/07/2024 |
| Medicare PECOS PAC ID | 0345139671 |
|---|---|
| Medicare Enrollment ID | O20180508001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952550055 | NPI | - | NPPES |
| 00926581 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 5903200R (New York) | Primary |
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