Mobile Van Unit

LBN: Whitney M. Young Jr. Health Center, Inc.
Mobile Van Unit is an health care organization with primary practice located at 920 Lark Dr Whitney M. Young Jr. Health Center - Mobile Van, Albany NY 12207-1300. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Whitney M. Young Jr. Health Center, Inc. can be contacted via phone (518) 465-4771, or through Shippee, David H via phone (518) 465-4771.

Contact Information

Primary practice address
920 Lark Dr Whitney M. Young Jr. Health Center - Mobile Van Albany NY 12207-1300
Phone: (518) 465-4771
Fax: (518) 320-3022
Website:
Map and Directions
Authorized official contact:
Name: Shippee, David H
Phone: (518) 465-4771

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 0101205R New York
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 0101205R New York
Ambulatory Health Care Facilities / Primary Care 261QP2300X 010120R New York

Profile Details

NPI number 1235537655
LBN Legal business name Whitney M. Young Jr. Health Center, Inc.
DBA Doing business as Mobile Van Unit
Authorized official Shippee, David H
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 17th, 2014
Last updated Dec 17th, 2014 - 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 1235537655 NPPES
New York MEDICAID 00473565

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