Organization
PATERSON COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEVAN K BAKER FACHE (CEO)
(973) 790-6594
Entity
Organization
Contact information
Practice address
32 CLINTON ST, PATERSON, NJ 07522-1775
(973) 790-6594
(973) 790-7703
Mailing address
32 CLINTON ST, PATERSON, NJ 07522-1775
(973) 790-6594
(973) 790-7703
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
71672
NJ
261QF0400X
Federally Qualified Health Center (FQHC)
82304
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044300
—
NJ
05
—
0044342
—
NJ
Enumeration date
06/07/2006
Last updated
08/20/2025
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