NORTH HUDSON COMMUNITY ACTION CORPORATION NPI 1346494788

NPI Information

NPI: 1346494788
Provider Name: NORTH HUDSON COMMUNITY ACTION CORPORATION
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 31D2114844

Address:
535 MIDLAND AVE
GARFIELD, NJ
ZIP 07026
Phone: (973) 340-1182
Get Directions

NORTH HUDSON COMMUNITY ACTION CORPORATION is a federally qualified health center (fqhc) clinic center in Garfield, NJ. NORTH HUDSON COMMUNITY ACTION CORPORATION NPI is 1346494788. The provider is registered as an organization entity type.

The provider's business location address is:

535 MIDLAND AVE
GARFIELD, NJ
ZIP 07026-658
Phone: (973) 340-1182
Fax: (973) 340-1186

The provider's authorized official is Michael Shababb .
The authorized official title is Interim President/ceo and has the following contact phone number (201) 866-2388.

The CLIA number assigned to this NPI record is 31D2114844 - other - wic program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2008 and was last updated on 5/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0106933	MEDICAID	NEW JERSEY
2	311868	MEDICARE OSCAR/CERTIFICATION	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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