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) 454-7530.
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
- 1568711596
- Provider Type
- Organization
- Primary Specialty
- Federally Qualified Health Center (FQHC)
- Enumeration Date
- September 06, 2012
- Last Updated
- October 08, 2015
Practice Location
- 151 Parsells Ave
- Jordan Health At Community Place
- Rochester, NY 14609
Phone: (585) 454-7530
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 operates as Jordan Health, a Rochester-based community health organization whose roots date to 1904 and which describes itself as one of the nation’s first federally qualified health centers. Its official history says the organization began in northeast Rochester, later merged operations with Woodward Health Center and Brown Square Health Center, and expanded into a network of primary care offices and health centers serving multiple parts of Rochester and Canandaigua. New York State’s HCRA provider listing also shows affiliated Jordan Health locations, including Jordan at Threshold in Rochester.
Full Record
- NPI
- 1568711596
- 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
- 151 Parsells Ave
- Practice Address Line 2
- Jordan Health At Community Place
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609
- Practice Country
- US
- Practice Phone
- (585) 454-7530
- Enumeration Date
- September 06, 2012
- 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
- 331838 (NY, Medicare Part A Ptan), 16467A (NY, Medicare Part B Ptan), 04065629 (NY)