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) 325-5232.

NPI 1457626129Rochester, NYFederally Qualified Health Center (FQHC)

Source: public NPPES record, last updated February 20, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1457626129
Provider Type
Organization
Primary Specialty
Federally Qualified Health Center (FQHC)
Enumeration Date
March 14, 2012
Last Updated
February 20, 2014

Practice Location

  • 125 Saint Paul St
  • Rochester, NY 14609

Phone: (585) 325-5232

Mailing Address

  • 82 Holland St
  • Rochester, NY 14605-2131

Authorized Official

Name
Janice Harbin
Title
President/CEO
Credentials
DDS
Phone
(585) 423-2878

Specialties

  • Federally Qualified Health Center (FQHC) (261QF0400X)

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Organization Overview

Anthony L. Jordan Health Corporation, known publicly as Jordan Health, is a Rochester, New York community health organization whose roots date to 1904 and one of the nation’s early Federally Qualified Health Centers. Jordan Health describes its mission as providing community-based comprehensive care regardless of ability to pay, with locations across Rochester and Canandaigua. Its Rochester programs include adolescent health services at Jordan Health at Community Place, continuing care for youths who previously received services through Threshold Center for Alternative Youth Services.

Full Record
NPI
1457626129
Entity Type
Organization
Organization Name
Anthony L. Jordan Health Corporation
Provider Other Organization Name Type Code
6
Mailing Street Address
82 Holland St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14605-2131
Mailing Country
US
Mailing Phone
(585) 423-5800
Mailing Fax
(585) 423-2860
Practice Street Address
125 Saint Paul St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609
Practice Country
US
Practice Phone
(585) 325-5232
Practice Fax
(585) 546-3485
Enumeration Date
March 14, 2012
Last Updated
February 20, 2014
Authorized Official Last Name
Harbin
Authorized Official First Name
Janice
Authorized Official Title
President/CEO
Authorized Official Phone
(585) 423-2878
Organization Subpart
Yes
Parent Organization Name
ANTHONY L. JORDAN HEALTH CORPORATION
Authorized Official Credential Text
DDS
Taxonomies
Federally Qualified Health Center (FQHC) (261QF0400X)
Other Identifiers
16467A (NY, Medicare Part B), 6613 (NY, Blue Cross Of Rochester), 00384969 (NY), 331838 (NY, Medicare Part A), G0187295590 (NY, Blue Choice Of Rochester)