Ezras Choilim Health Center, Inc.
LBN: Ezras Choilim Health Center, Inc.
Ezras Choilim Health Center, Inc. is an health care organization with primary practice located at 49 Forest Road , Monroe NY 10950-2923. 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 / Multi-Specialty. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Ezras Choilim Health Center, Inc. can be contacted via phone (845) 782-3242, or through Mittelman, Joel via phone (845) 782-3242.
Contact Information
Primary practice address
49 Forest Road
Monroe NY 10950-2923
Phone: (845) 782-3242
Fax: (845) 783-7133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1063480218 |
|---|---|
| LBN Legal business name | Ezras Choilim Health Center, Inc. |
| DBA Doing business as | |
| Authorized official | Mittelman, Joel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 9th, 2011 - about 13 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 | 1063480218 | NPPES |
| New York | MEDICAID | 01620680 |
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