# WHITNEY M. YOUNG JR. HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WHITNEY M. YOUNG JR. HEALTH CENTER, INC.
- **Other names:** Mobile Van Unit
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235537655
- **Legal business name:** WHITNEY M. YOUNG JR. HEALTH CENTER, INC.
- **Authorized official:** DAVID H SHIPPEE (CEO/PRESIDENT)
- **Authorized official phone:** (518) 465-4771

## Contact information

- **Practice address:** 920 LARK DR, WHITNEY M. YOUNG JR. HEALTH CENTER - MOBILE VAN, ALBANY, NY 12207-1300
- **Practice address phone:** (518) 465-4771
- **Practice address fax:** (518) 320-3022
- **Mailing address:** 320 SEVENTH AVENUE, TROY, NY 12182
- **Mailing address phone:** (518) 465-4771
- **Mailing address fax:** (518) 320-3022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 0101205R | NY | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | 0101205R | NY | — |
| 261QP2300X | Primary Care Clinic/Center | 010120R | NY | — |

## Other

- **Enumeration date:** 12/17/2014
- **Last updated:** 12/17/2014