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Organization

NORTH HUDSON COMMUNITY ACTION CORPORATION HEALTH CENTER- MOVIL VAN

Active
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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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