Glenwood Gardens
LBN: Anthony L. Jordan Health Corporation
Glenwood Gardens is an health care organization with primary practice located at 41 Kestrel St , Rochester NY 14613-2120. 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) 697-7130, or through Wiefling, Bridgette via phone (585) 423-2878.
Contact Information
Primary practice address
41 Kestrel St
Rochester NY 14613-2120
Phone: (585) 697-7130
Fax: (585) 697-7131
Website:
Authorized official contact:
Name: Wiefling, Bridgette Doctor of Medicine (MD)
Phone: (585) 423-2878
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 2701211R | New York |
Profile Details
| NPI number | 1437424231 |
|---|---|
| LBN Legal business name | Anthony L. Jordan Health Corporation |
| DBA Doing business as | Glenwood Gardens |
| Authorized official | Wiefling, Bridgette Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 13th, 2012 |
| Last updated | Mar 19th, 2012 - about 12 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 | 1437424231 | NPPES |
| New York | Other | 6613 | BLUE CROSS OF ROCHESTER |
| New York | MEDICAID | 00384969 | BLUE CROSS OF ROCHESTER |
| New York | Other | G0187295590 | BLUE CROSS OF ROCHESTER |
| New York | Other | 331838 | BLUE CROSS OF ROCHESTER |
| New York | Other | 16467A | BLUE CROSS OF ROCHESTER |
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