Brown Square Center
LBN: Anthony L. Jordan Health Corporation
Brown Square Center is an health care organization with primary practice located at 322 Lake Ave Brown Square Center, Rochester NY 14608-1162. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
Anthony L. Jordan Health Corporation can be contacted via phone (585) 254-6480, or through Harbin, Janice via phone (585) 423-5800.
Contact Information
Primary practice address
322 Lake Ave Brown Square Center
Rochester NY 14608-1162
Phone: (585) 254-6480
Fax: (585) 254-1092
Website:
Authorized official contact:
Name: Harbin, Janice Doctor of Dental Surgery (DDS)
Phone: (585) 423-5800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 2701211R | New York |
Profile Details
| NPI number | 1013291335 |
|---|---|
| LBN Legal business name | Anthony L. Jordan Health Corporation |
| DBA Doing business as | Brown Square Center |
| Authorized official | Harbin, Janice Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 5th, 2011 |
| Last updated | Oct 8th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013291335 | NPPES |
| New York | Other | 16467A | MEDICARE PART B |
| New York | Other | 6613 | MEDICARE PART B |
| New York | Other | 331838 | MEDICARE PART B |
| New York | Other | G0187295590 | MEDICARE PART B |
| New York | MEDICAID | 03800906 | MEDICARE PART B |
Popular Providers
-
Regional Health Reach Inc.
65 Genesee St Fl 1 , Rochester NY 14611-3201 -
Anthony L. Jordan Health Corporation
214 Lake Ave , Rochester NY 14608-1208 -
Anthony L. Jordan Health Corporation
666 Plymouth Ave S , Rochester NY 14608-2766 -
Anthony L. Jordan Health Corporation
480 Genesee St Woodward Center, Rochester NY 14611-3634 -
Anthony L. Jordan Health Corporation
82 Holland Street , Rochester NY 14605-2131 -
Anthony L. Jordan Health Corporation
151 Parsells Ave Jordan Health At Community Place, Rochester NY 14609 -
Anthony L. Jordan Health Corporation
82 Holland St , Rochester NY 14605-2131 -
Westside Health Services, Inc.
322 Lake Ave , Rochester NY 14608-1017