Organization
NEWARK COMMUNITY HEALTH CENTERS INC
Active
Parent organization
NEWARK COMMUNITY HEALTH CENTERS INC
Other names
Irvington Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEWARK COMMUNITY HEALTH CENTERS INC
Authorized official
PAMELA CLARKE DOCTORATE (PRESIDENT/CEO)
(973) 483-1300
Entity
Organization
Contact information
Practice address
1150 SPRINGFIELD AVE, IRVINGTON, NJ 07111-2441
(973) 399-6292
(973) 372-4534
Mailing address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
(973) 483-3787
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
23134
NJ
261QF0400X
Federally Qualified Health Center (FQHC)
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179965
—
NJ
01
—
23134
STATE LICENSE
NJ
Enumeration date
04/25/2008
Last updated
04/12/2024
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