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) 436-3040.
Source: public NPPES record, last updated October 08, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1497039713
- Provider Type
- Organization
- Primary Specialty
- Federally Qualified Health Center (FQHC)
- Enumeration Date
- October 05, 2011
- Last Updated
- October 08, 2015
Practice Location
- 480 Genesee St
- Woodward Center
- Rochester, NY 14611-3634
Phone: (585) 436-3040
Mailing Address
- 82 Holland St
- Aljhc
- Rochester, NY 14605-2131
Authorized Official
- Name
- Janice Harbin
- Title
- President/CEO
- Credentials
- DDS
- Phone
- (585) 423-5800
Specialties
- Federally Qualified Health Center (FQHC) (261QF0400X)
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Organization Overview
Anthony L. Jordan Health Corporation, operating as Jordan Health, is a Rochester, New York community health organization whose roots date to health services begun in 1904 and one of the nation’s early federally qualified health centers. Jordan Health says it serves underserved and uninsured residents through a network of primary care offices and health centers in Rochester and Canandaigua, and its history notes the 2011 integration of Woodward and Brown Square health centers. New York State also lists multiple affiliated Jordan Health sites in the Rochester area.
Full Record
- NPI
- 1497039713
- Entity Type
- Organization
- Organization Name
- Anthony L. Jordan Health Corporation
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 82 Holland St
- Mailing Address Line 2
- Aljhc
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-2131
- Mailing Country
- US
- Mailing Phone
- (585) 423-5800
- Mailing Fax
- (585) 423-2890
- Practice Street Address
- 480 Genesee St
- Practice Address Line 2
- Woodward Center
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3634
- Practice Country
- US
- Practice Phone
- (585) 436-3040
- Practice Fax
- (585) 328-3812
- Enumeration Date
- October 05, 2011
- Last Updated
- October 08, 2015
- Authorized Official Last Name
- Harbin
- Authorized Official First Name
- Janice
- Authorized Official Title
- President/CEO
- Authorized Official Phone
- (585) 423-5800
- 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
- 6613 (NY, Blue Cross Of Rochester), 331838 (NY, Medicare Part A), 03801874 (NY), 16467A (NY, Medicare Part B), G0187295590 (NY, Blue Choice Of Rochester)