Organization Name: | PATERSON COMMUNITY HEALTH CENTER, INC. |
NPI Number: | 1063666931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY E. GARNER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 32 Clinton St Paterson |
State: | NJ US |
Postal Code: | 075221775 |
Phone Number: | 9737906594 |
Fax Number: | 9737907703 |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | 24192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |