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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
227 BROADWAY, PATERSON, NJ 07501-2002
(973) 278-2600
(973) 278-0588
Mailing address
32 CLINTON ST, PATERSON, NJ 07522-1775
(973) 790-6594
(973) 790-7703

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
82304
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0044342
NJ
Enumeration date
08/07/2007
Last updated
08/20/2025
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