Irvington Community Health Center
LBN: Newark Community Health Centers Inc
Irvington Community Health Center is an health care organization with primary practice located at 1150 Springfield Ave , Irvington NJ 07111-2441. 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) 399-6292, or through Clarke, Pamela via phone (973) 483-1300.
Contact Information
Primary practice address
1150 Springfield Ave
Irvington NJ 07111-2441
Phone: (973) 399-6292
Fax: (973) 372-4534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 23134 | New Jersey |
Profile Details
| NPI number | 1972778413 |
|---|---|
| LBN Legal business name | Newark Community Health Centers Inc |
| DBA Doing business as | Irvington Community Health Center |
| Authorized official | Clarke, Pamela DOCTORATE |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 25th, 2008 |
| Last updated | Apr 12th, 2024 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972778413 | NPPES |
| New Jersey | MEDICAID | 0179965 | |
| New Jersey | Other | 23134 |
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