National Provider Identifier
Jordan Healthcare Center
Jordan Healthcare Center is listed in the NPPES registry with a primary specialty of Clinic/Center in Rochester, NY and a listed phone number of (585) 254-6480.
Source: public NPPES record, last updated July 05, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1396197158
- Provider Type
- Organization
- Primary Specialty
- Clinic/Center
- Enumeration Date
- July 05, 2016
- Last Updated
- July 05, 2016
Practice Location
- 322 Lake Ave Ste 1
- Rochester, NY 14608-1162
Phone: (585) 254-6480
Mailing Address
- 817 Pond View Hts
- Rochester, NY 14612-1350
Authorized Official
- Name
- Vladimir Taub
- Title
- Nurse Practitioner
- Credentials
- FNP
- Phone
- (917) 716-5479
Specialties
- Clinic/Center (261Q00000X)
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Organization Overview
Jordan Healthcare Center, known publicly as Jordan Health’s Brown Square Health Center in Rochester, New York, is a Federally Qualified Health Center within Anthony L. Jordan Health Corporation’s community health network. Jordan Health says its roots go back more than 100 years and that it was among the nation’s first federally qualified health centers, focused on care for underserved and uninsured residents. Its history notes that Brown Square joined the network through a 2011 merger with Anthony L. Jordan Health Center and Woodward Health Center, and the organization now serves Rochester-area communities and Canandaigua.
Full Record
- NPI
- 1396197158
- Entity Type
- Organization
- Organization Name
- Jordan Healthcare Center
- Mailing Street Address
- 817 Pond View Hts
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-1350
- Mailing Country
- US
- Mailing Phone
- (917) 716-5479
- Practice Street Address
- 322 Lake Ave Ste 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1162
- Practice Country
- US
- Practice Phone
- (585) 254-6480
- Enumeration Date
- July 05, 2016
- Last Updated
- July 05, 2016
- Authorized Official Last Name
- Taub
- Authorized Official First Name
- Vladimir
- Authorized Official Title
- Nurse Practitioner
- Authorized Official Phone
- (917) 716-5479
- Organization Subpart
- No
- Authorized Official Credential Text
- FNP
- Taxonomies
- Clinic/Center (261Q00000X)