National Provider Identifier
Anthony L. Jordan Health Corporation
Anthony L. Jordan Health Corporation is listed in the NPPES registry with a primary specialty of Urgent Care Clinic/Center in Rochester, NY and a listed phone number of (585) 423-5800.
Profile Overview
- NPI
- 1528317567
- Provider Type
- Organization
- Primary Specialty
- Urgent Care Clinic/Center
- Enumeration Date
- September 06, 2012
- Last Updated
- September 06, 2012
Practice Location
- 82 Holland Street
- Rochester, NY 14605-2131
Phone: (585) 423-5800
Specialties
- Urgent Care Clinic/Center (261QU0200X)
Full Record
- NPI
- 1528317567
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Anthony L. Jordan Health Corporation
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 82 Holland Street
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-2131
- Mailing Country
- US
- Mailing Phone
- (585) 423-5800
- 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
- Enumeration Date
- September 06, 2012
- Last Updated
- September 06, 2012
- Authorized Official Last Name
- Wiefling
- Authorized Official First Name
- Bridgette
- Authorized Official Title
- President/CEO
- Authorized Official Phone
- (585) 423-2878
- Organization Subpart
- Yes
- Parent Organization Name
- ANTHONY L. JORDAN HEALTH CORPORATION
- Parent Organization TIN
- <UNAVAIL>
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- MD
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Urgent Care Clinic/Center (261QU0200X)