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Organization

COMMUNITY HEALTH CENTER OF RICHMOND INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY THOMPSON FACHE (CEO)
(718) 924-2254
Entity
Organization

Contact information

Practice address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(718) 924-2254
Mailing address
235 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1701
(718) 924-2254
(718) 442-0189

Taxonomy

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

Other

Enumeration date
10/29/2013
Last updated
10/29/2013
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