Organization
ANTHONY L. JORDAN HEALTH CORPORATION
Active
Parent organization
ANTHONY L. JORDAN HEALTH CORPORATION
Other names
Jordan Health at Community Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTHONY L. JORDAN HEALTH CORPORATION
Authorized official
JANICE HARBIN DDS (PRESIDENT/CEO)
(585) 423-5800
Entity
Organization
Contact information
Practice address
151 PARSELLS AVE, JORDAN HEALTH AT COMMUNITY PLACE, ROCHESTER, NY 14609
(585) 454-7530
Mailing address
82 HOLLAND ST, ALJHC, ROCHESTER, NY 14605-2131
(585) 423-5800
(585) 423-2890
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04065629
—
NY
01
—
16467A
MEDICARE PART B PTAN
NY
01
—
331838
MEDICARE PART A PTAN
NY
Enumeration date
09/06/2012
Last updated
10/08/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us