Organization
MIDDLETOWN COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYJO JOBITY (CFO)
(845) 343-7614
Entity
Organization
Contact information
Practice address
10 BROTHERHOOD PLAZA DR, WASHINGTONVILLE, NY 10992-2260
(845) 614-5981
Mailing address
21 ORCHARD ST, MIDDLETOWN, NY 10940-5004
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
Enumeration date
12/19/2013
Last updated
05/22/2014
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