Organization
IRONBOUND COMMUNITY HEALTH CENTER INC
Active
Other names
Hope and Esperanza Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LOLO (CHIEF EXECUTIVE OFFICER)
(908) 514-1895
Entity
Organization
Contact information
Practice address
788 MOUNT PROSPECT AVE FL 2, NEWARK, NJ 07104-3221
(973) 433-9773
Mailing address
788 MOUNT PROSPECT AVE FL 2, NEWARK, NJ 07104-3221
(973) 433-9773
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/11/2021
Last updated
07/13/2021
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