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.
Profile Overview
- NPI
- 1174095640
- Provider Type
- Organization
- Primary Specialty
- Federally Qualified Health Center (FQHC)
- Enumeration Date
- December 21, 2018
- Last Updated
- December 21, 2018
Practice Location
- 214 Lake Ave
- Rochester, NY 14608-1208
Phone: (585) 423-5800
Mailing Address
- 214C Lake Ave
- Rochester, NY 14608-1208
Specialties
- Federally Qualified Health Center (FQHC) (261QF0400X)
Full Record
- NPI
- 1174095640
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Anthony L. Jordan Health Corporation
- Mailing Street Address
- 214C Lake Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-1208
- Mailing Country
- US
- Mailing Phone
- (585) 423-2816
- Mailing Fax
- (585) 423-2853
- Practice Street Address
- 214 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1208
- Practice Country
- US
- Practice Phone
- (585) 423-5800
- Practice Fax
- (585) 784-5981
- Enumeration Date
- December 21, 2018
- Last Updated
- December 21, 2018
- Authorized Official Last Name
- Graham
- Authorized Official First Name
- Monica
- Authorized Official Middle Name
- M.
- Authorized Official Title
- Billing Manger
- Authorized Official Phone
- (585) 423-2821
- Organization Subpart
- No
- Authorized Official Credential Text
- CMBS, CMC
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Federally Qualified Health Center (FQHC) (261QF0400X)