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Organization

MIDDLETOWN COMMUNITY HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. THERESA M MALONEY (CHIEF EXECUTIVE OFFICER)
(845) 343-7614
Entity
Organization

Contact information

Practice address
53 GIBSON ROAD, GOSHEN, NY 10924
(845) 291-0348
(845) 343-5390
Mailing address
PO BOX 987, 21 ORCHARD STREET, MIDDLETOWN, NY 10940
(845) 343-7614
(845) 343-5390

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00355931
NY
Enumeration date
06/13/2007
Last updated
03/25/2011
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