Organization
NORTH HUDSON COMMUNITY ACTION CORPORATION HEALTH CENTER- MOVIL VAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER F. IRIZARRY (PRESIDENT/CEO)
(201) 866-2388
Entity
Organization
Contact information
Practice address
800 31ST ST, UNION CITY, NJ 07087-2428
(201) 201-0100
Mailing address
5301 BROADWAY -MOVIL VAN, WEST NEW YORK, NEW JERSEY 07093
(201) 210-0100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282138
—
NJ
Enumeration date
11/08/2012
Last updated
11/08/2012
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