Dayton Street Health Center

LBN: Newark Community Health Centers, Inc.
Dayton Street Health Center is an health care organization with primary practice located at 101 Ludlow St , Newark NJ 07114-1108. 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. Newark Community Health Centers, Inc. can be contacted via phone (973) 565-0355, or through Clarke, Pamela via phone (973) 483-1300.

Contact Information

Primary practice address
101 Ludlow St Newark NJ 07114-1108
Phone: (973) 565-0355
Fax: (973) 565-0461
Website:
Map and Directions
Authorized official contact:
Name: Clarke, Pamela
Phone: (973) 483-1300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 70778 New Jersey

Profile Details

NPI number 1932370483
LBN Legal business name Newark Community Health Centers, Inc.
DBA Doing business as Dayton Street Health Center
Authorized official Clarke, Pamela
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 12th, 2008
Last updated Mar 8th, 2024 - about 8 months 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 1932370483 NPPES
New Jersey MEDICAID 0409294

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