Kennedy Tower
LBN: Anthony L. Jordan Health Corporation
Kennedy Tower is an health care organization with primary practice located at 666 Plymouth Ave S , Rochester NY 14608-2766. 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) 697-7120, or through Harbin, Janice via phone (585) 423-2878.
Contact Information
Primary practice address
666 Plymouth Ave S
Rochester NY 14608-2766
Phone: (585) 697-7120
Fax: (585) 697-7121
Website:
Authorized official contact:
Name: Harbin, Janice Doctor of Dental Surgery (DDS)
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 | 1609141316 |
|---|---|
| LBN Legal business name | Anthony L. Jordan Health Corporation |
| DBA Doing business as | Kennedy Tower |
| Authorized official | Harbin, Janice Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 13th, 2012 |
| Last updated | Feb 20th, 2014 - about 10 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 | 1609141316 | NPPES |
| New York | MEDICAID | 00384969 | |
| New York | Other | 16467A | |
| New York | Other | G0187295590 | |
| New York | Other | 331838 | |
| New York | Other | 6613 |
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