Richmond Community Support Organization
LBN: Community Health Center Of Richmond, Inc
Richmond Community Support Organization is an health care organization with primary practice located at 235 Port Richmond Avenue , Staten Island NY 10302-1701. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Community Health Center Of Richmond, Inc can be contacted via phone (718) 876-1732, or through Gabriel, Lucie via phone (718) 924-2254.
Contact Information
Primary practice address
235 Port Richmond Avenue
Staten Island NY 10302-1701
Phone: (718) 876-1732
Fax: (718) 442-0189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 2903588 | New York |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 7004210R | New York |
Profile Details
| NPI number | 1114137403 |
|---|---|
| LBN Legal business name | Community Health Center Of Richmond, Inc |
| DBA Doing business as | Richmond Community Support Organization |
| Authorized official | Gabriel, Lucie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Sep 24th, 2013 - about 11 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 | 1114137403 | NPPES |
| New York | Other | 7004210R | OPERATING CERTIFICATE # |
| New York | MEDICAID | 2903588 | OPERATING CERTIFICATE # |
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