Organization
PROJECT SAMARITAN HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGUERITE LOUISE GEBHARDT RN (PRESIDENT/CEO)
(718) 657-1100
Entity
Organization
Contact information
Practice address
1545 INWOOD AVE, BRONX, NY 10452-2001
(718) 299-5500
(718) 299-7679
Mailing address
137-50 JAMAICA AVE, JAMAICA, NY 11435-3610
(718) 298-5100
(718) 298-5128
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7003246R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01690633
—
NY
Enumeration date
10/12/2006
Last updated
08/22/2020
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