Organization
NORTH HUDSON COMMUNITY ACTION CORPORATION
Active
Other names
Mobile Van
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHABABB (INTERIM PRESIDENT/CEO)
(201) 866-2388
Entity
Organization
Contact information
Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
(201) 392-9084
Mailing address
800 31ST ST, UNION CITY, NJ 07087-2428
(201) 210-0100
(201) 348-0100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022705
—
NJ
Enumeration date
05/17/2006
Last updated
05/23/2013
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