NORTH HUDSON COMMUNITY ACTION CORPORATION NPI 1659323442

NPI Information

NPI: 1659323442
Provider Name: NORTH HUDSON COMMUNITY ACTION CORPORATION

Other Name: MOBILE VAN

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
5301 BROADWAY
WEST NEW YORK, NJ
ZIP 07093
Phone: (201) 866-9320
Get Directions

NORTH HUDSON COMMUNITY ACTION CORPORATION is a federally qualified health center (fqhc) clinic center in West New York, NJ. NORTH HUDSON COMMUNITY ACTION CORPORATION NPI is 1659323442. The provider is registered as an organization entity type.
The provider Other Name Is Mobile Van.

The provider's business location address is:

5301 BROADWAY
WEST NEW YORK, NJ
ZIP 07093-622
Phone: (201) 866-9320
Fax: (201) 392-9084

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 enumeration date for this NPI number is 5/17/2006 and was last updated on 5/23/2013.

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	0022705	MEDICAID	NEW JERSEY
2	311829	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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