Organization
BEACON CHRISTIAN COMMUNITY HEALTH CENTER INC
Active
Organization
BEACON CHRISTIAN COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H KIM MD, MBA (CEO)
(718) 815-6560
Entity
Organization
Contact information
Practice address
2031 FOREST AVE, STATEN ISLAND, NY 10303-1733
(718) 815-6560
(718) 815-6576
Mailing address
2079 FOREST AVE, STATEN ISLAND, NY 10303-1865
(718) 815-6560
(718) 815-6576
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
06/27/2016
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