National Provider Identifier
Anthony L. Jordan Health Corporation
Anthony L. Jordan Health Corporation is listed in the NPPES registry with a primary specialty of Federally Qualified Health Center (FQHC) in Rochester, NY and a listed phone number of (585) 423-5800.
Source: public NPPES record, last updated February 04, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1083716088
- Provider Type
- Organization
- Primary Specialty
- Federally Qualified Health Center (FQHC)
- Enumeration Date
- September 01, 2006
- Last Updated
- February 04, 2025
Practice Location
- 82 Holland Street
- Rochester, NY 14605-2131
Phone: (585) 423-5800
Mailing Address
- 82 Holland Street
- C/O Hr Credenting Dept.
- Rochester, NY 14605-2131
Authorized Official
- Name
- Monica Graham
- Title
- Hr Credentilaing Specialist
- Phone
- (585) 423-2816
Specialties
- Federally Qualified Health Center (FQHC) (261QF0400X)
- Federally Qualified Health Center (FQHC) (261QF0400X)
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Full Record
- NPI
- 1083716088
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Anthony L. Jordan Health Corporation
- Mailing Street Address
- 82 Holland Street
- Mailing Address Line 2
- C/O Hr Credenting Dept.
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-2131
- Mailing Country
- US
- Mailing Phone
- (585) 423-2816
- Mailing Fax
- (585) 423-2853
- Practice Street Address
- 82 Holland Street
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-2131
- Practice Country
- US
- Practice Phone
- (585) 423-5800
- Practice Fax
- (585) 423-2890
- Enumeration Date
- September 01, 2006
- Last Updated
- February 04, 2025
- Authorized Official Last Name
- Graham
- Authorized Official First Name
- Monica
- Authorized Official Title
- Hr Credentilaing Specialist
- Authorized Official Phone
- (585) 423-2816
- Organization Subpart
- No
- Certification Date
- February 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Federally Qualified Health Center (FQHC) (261QF0400X), Federally Qualified Health Center (FQHC) (261QF0400X)
- Other Identifiers
- G0187295590 (NY, Blue Choice Of Rochester), 16467A (NY, Medicare Part B), 331838 (NY, Medicare Part A), 00384969 (NY), 6613 (NY, Blue Cross Of Rochester)