ANTHONY L. JORDAN HEALTH CORPORATION (NPI# 1497039713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497039713 |
Entity Type | Organization |
Organization Name | ANTHONY L. JORDAN HEALTH CORPORATION |
Other Organization Name | WOODWARD CENTER |
Practice Address |
480 Genesee St Woodward Center Rochester NY 14611-3634 |
Mailing Address |
82 Holland St Aljhc Rochester NY 14605-2131 |
Practice Telephone | 5854363040 |
Practice Fax Number | 5853283812 |
Mailing Telephone | 5854235800 |
Mailing Fax Number | 5854232890 |
Enumeration Date | 2011-10-05 |
Last Update Date | 2015-10-08 |
Authorized Official Name | JANICE HARBIN (PRESIDENT/CEO) |
Authorized Official Telephone | 5854235800 |
Authorized Official Credential | DDS |
Is Organization Subpart | Y |
Parent Organization Name | ANTHONY L. JORDAN HEALTH CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
2701211R | NY | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | MEDICARE PART A | 331838 | 01 |
NY | BLUE CROSS OF ROCHESTER | 6613 | 01 |
NY | 03801874 | 05 | |
NY | MEDICARE PART B | 16467A | 01 |
NY | BLUE CHOICE OF ROCHESTER | G0187295590 | 01 |
Other Name | Type Code |
---|---|
Woodward Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174095640 | Anthony L. Jordan Health Corporation | Clinic/Center | 214 Lake Ave, Rochester, NY 14608-1208 | 2018-12-21 |
1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
1457626129 | Anthony L. Jordan Health Corporation | Clinic/Center | 125 Saint Paul St, Rochester, NY 14609 | 2012-03-14 |
1437424231 | Anthony L. Jordan Health Corporation | Clinic/Center | 41 Kestrel St, Rochester, NY 14613-2120 | 2012-03-13 |
1609141316 | Anthony L. Jordan Health Corporation | Clinic/Center | 666 Plymouth Ave S, Rochester, NY 14608-2766 | 2012-03-13 |
1346541414 | Anthony L. Jordan Health Corporation | Clinic/Center | 273 Upper Falls Blvd, Rochester, NY 14605-2103 | 2010-11-05 |
1639621709 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2016-10-25 |
1750700399 | Anthony L. Jordan Health Corporation | Clinic/Center | 950 Norton St, Rochester, NY 14621-3732 | 2014-04-10 |
1831441534 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2012-10-05 |
1528317567 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland Street, Rochester, NY 14605-2131 | 2012-09-06 |
Street Address |
480 GENESEE ST WOODWARD CENTER |
City | ROCHESTER |
State | NY |
Zip Code | 14611-3634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861425431 | Metcare Rx Ecmc Pharmaceutical Services, LLC | Pharmacy | 480 Genesee St, Rochester, NY 14611-3634 | 2006-07-08 |
1629603998 | Michelle Magee Devens | Registered Nurse | 480 Genesee St, Rochester, NY 14611-3634 | 2020-03-07 |
1124491592 | Sara J Klatte | Nurse Practitioner | 480 Genesee St, Rochester, NY 14611-3634 | 2015-11-07 |
1124499926 | Lacoya Hill | Licensed Practical Nurse | 480 Genesee St, Rochester, NY 14611-3634 | 2015-10-19 |
1083092910 | Megan E Betteley Wang | Family Medicine | 480 Genesee St, Rochester, NY 14611 | 2015-05-12 |
1689934499 | Connie Lowry | Dental Hygienist | 480 Genesee St, Rochester, NY 14611-3634 | 2012-05-25 |
1750695615 | Lawrence S Brumfield | Registered Nurse | 480 Genesee St, Rochester, NY 14611-3634 | 2010-08-03 |
1285957514 | Hmb Pharmacy Management LLC | Pharmacy | 480 Genesee St, Rochester, NY 14611-3634 | 2010-03-01 |
1336472166 | Joanne Lim | Dentist | 480 Genesee St, Jordan Health At Woodward, Rochester, NY 14611-3634 | 2009-09-11 |
1689851164 | Wilhelmina Frederica Sizer | Nurse Practitioner | 480 Genesee St, Rochester, NY 14611-3634 | 2008-01-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578113874 | Brittany Desiree' James | Counselor | 601 Genesee Street, Rochester, NY 14611 | 2019-09-18 |
1629554456 | Burnagie Tafari Webbe | Licensed Practical Nurse | 49 Judson St, Rochester, NY 14611 | 2018-07-16 |
1194223917 | Caitlin Mucenski | Registered Nurse | 1099 Jay Street, Building J, Suite 202, Rochester, NY 14611 | 2018-01-26 |
1093233579 | Brittany Theresa Filip | Speech-Language Pathologist | Brittany Filip At Lincoln Park School No. 44, 820 Chili Avenue, Rochester, NY 14611 | 2017-09-05 |
1629591326 | Stacey D Mccloud | Licensed Practical Nurse | 55 Garfield St, Rochester, NY 14611 | 2017-07-25 |
1245685619 | Lilt Home Care | Home Health | 803 West Avenue, 353, Rochester, NY 14611 | 2016-05-04 |
1639539844 | Petrica Rouse | Dentist | 89 Genesee St Fl 2, Rochester, NY 14611 | 2016-03-01 |
1558737304 | People Inc. | Case Management | 835 W. Main Street, Rochester, NY 14611 | 2015-08-17 |
1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
1538567599 | Caring Hands Adl Inc | Home Health | 218 Garfield St., Rochester, NY 14611 | 2014-12-08 |
Find all providers in zip 14611 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871128371 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-03-05 |
1174095640 | Anthony L. Jordan Health Corporation | Clinic/Center | 214 Lake Ave, Rochester, NY 14608-1208 | 2018-12-21 |
1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
1457626129 | Anthony L. Jordan Health Corporation | Clinic/Center | 125 Saint Paul St, Rochester, NY 14609 | 2012-03-14 |
1437424231 | Anthony L. Jordan Health Corporation | Clinic/Center | 41 Kestrel St, Rochester, NY 14613-2120 | 2012-03-13 |
1609141316 | Anthony L. Jordan Health Corporation | Clinic/Center | 666 Plymouth Ave S, Rochester, NY 14608-2766 | 2012-03-13 |
1346541414 | Anthony L. Jordan Health Corporation | Clinic/Center | 273 Upper Falls Blvd, Rochester, NY 14605-2103 | 2010-11-05 |
1003431925 | Greater Seacoast Community Health | Clinic/Center | 63 S Main St, Rochester, NH 03867-2707 | 2020-06-16 |
1407331978 | Greater Seacoast Community Health | Clinic/Center | 25 Old Dover Rd, Rochester, NH 03867-3464 | 2018-10-01 |
1639621709 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2016-10-25 |
Find all providers in ROCHESTER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.