National Provider Identifier
Anthony L. Jordan Health Corporation
Anthony L. Jordan Health Corporation is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy in Rochester, NY and a listed phone number of (585) 719-1932.
Source: public NPPES record, last updated July 29, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1619758968
- Provider Type
- Organization
- Primary Specialty
- Community/Retail Pharmacy
- Enumeration Date
- October 12, 2023
- Last Updated
- July 29, 2024
Practice Location
- 82 Holland St Ste 100
- Rochester, NY 14605-2131
Phone: (585) 719-1932
Mailing Address
- 214C Lake Ave
- Rochester, NY 14608-1208
Authorized Official
- Name
- Dr. Linda L Clark
- Title
- President/CEO
- Credentials
- MD
- Phone
- (585) 423-2870
Specialties
- Community/Retail Pharmacy (3336C0003X)
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Organization Overview
Anthony L. Jordan Health Corporation operates as Jordan Health, a Rochester, New York community health organization. Its history traces back to health services begun in 1904, and Jordan Health says it was among the first federally qualified health centers in the United States, with roots in serving underserved and uninsured residents. The organization has expanded from northeast Rochester into a network of primary care offices and health centers serving multiple areas of Rochester and Canandaigua; New York State also lists Anthony L. Jordan Health Center affiliations including Woodward Health Center, Brown Square Health Center, and other Jordan Health locations.
Full Record
- NPI
- 1619758968
- Entity Type
- Organization
- Organization Name
- Anthony L. Jordan Health Corporation
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 214C Lake Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-1208
- Mailing Country
- US
- Mailing Phone
- (585) 784-5918
- Practice Street Address
- 82 Holland St Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-2131
- Practice Country
- US
- Practice Phone
- (585) 719-1932
- Practice Fax
- (585) 719-1958
- Enumeration Date
- October 12, 2023
- Last Updated
- July 29, 2024
- Authorized Official Last Name
- Clark
- Authorized Official First Name
- Linda
- Authorized Official Middle Name
- L
- Authorized Official Title
- President/CEO
- Authorized Official Phone
- (585) 423-2870
- Organization Subpart
- Yes
- Parent Organization Name
- ANTHONY L. JORDAN HEALTH CORPORATION
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- MD
- Certification Date
- July 29, 2024
- Taxonomies
- Community/Retail Pharmacy (3336C0003X)
- Other Identifiers
- 040614 (NY, State License)