Organization
JERICHO ROAD MINISTRIES INC.
Active
Parent organization
JERICHO ROAD MINISTRIES INC.
Other names
Jericho Road Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JERICHO ROAD MINISTRIES INC.
Authorized official
JACKIE ENDRESS (CREDENTIALING SPECIALIST)
(716) 348-3000
Entity
Organization
Contact information
Practice address
182 BRECKENRIDGE ST, BUFFALO, NY 14213-1562
(716) 348-3025
(716) 348-3011
Mailing address
182 BRECKENRIDGE ST, BUFFALO, NY 14213-1562
(716) 348-3011
(716) 348-3025
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
08/23/2021
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