Beacon Christian Community Health Center

LBN: Beacon Christian Community Health Center
Beacon Christian Community Health Center is an health care organization with primary practice located at 2079 Forest Ave , Staten Island NY 10303-1865. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Beacon Christian Community Health Center can be contacted via phone (718) 815-6560, or through Kim, Janet via phone (718) 815-6560.

Contact Information

Primary practice address
2079 Forest Ave Staten Island NY 10303-1865
Phone: (718) 815-6560
Fax: (718) 815-6576
Website:
Map and Directions
Authorized official contact:
Name: Kim, Janet M.D., MPH, MA
Phone: (718) 815-6560

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X New York

Profile Details

NPI number 1801271911
LBN Legal business name Beacon Christian Community Health Center
DBA Doing business as
Authorized official Kim, Janet M.D., MPH, MA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801271911 NPPES
New Jersey MEDICAID 133V00000X
New Jersey MEDICAID 133V00000X

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