Organization
MIDDLETOWN COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA MALONEY (CHIEF EXECUTIVE OFFICER)
(845) 343-7614
Entity
Organization
Contact information
Practice address
60 PROSPECT AVENUE, MIDDLETOWN, NY 10940
(845) 343-7614
(845) 343-5390
Mailing address
PO BOX 987, 21 ORCHARD STREET, MIDDLETOWN, NY 10940-0987
(845) 343-7614
(845) 343-5390
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
Enumeration date
06/06/2007
Last updated
12/30/2008
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