Organization
NEWARK COMMUNITY HEALTH CENTERS, INC.
Active
Parent organization
NEWARKCOMMUNITY HEALTH CENTRS,INC.
Other names
Dayton Street Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEWARKCOMMUNITY HEALTH CENTRS,INC.
Authorized official
PAMELA CLARKE (PRESIDENT/CEO)
(973) 483-1300
Entity
Organization
Contact information
Practice address
101 LUDLOW ST, NEWARK, NJ 07114-1108
(973) 565-0355
(973) 565-0461
Mailing address
101 LUDLOW ST, NEWARK, NJ 07114-1108
(973) 565-0355
(973) 565-0461
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
70778
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409294
—
NJ
Enumeration date
03/12/2008
Last updated
03/08/2024
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