WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. (NPI# 1699256305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699256305 |
| Entity Type | Organization |
| Organization Name | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Other Organization Name | WATERVLIET JR/SR HIGH SCHOOL |
| Practice Address |
1245 Hillside Dr Watervliet NY 12189-2406 |
| Mailing Address |
920 Lark Dr Albany NY 12207-1300 |
| Practice Telephone | 5186293270 |
| Practice Fax Number | 5186293262 |
| Mailing Telephone | 5185914459 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | MR. DAVID SHIPPEE (PRESIDENT & CEO) |
| Authorized Official Telephone | 5185914459 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Watervliet Jr/Sr High School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083864458 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 849 2nd Ave, Troy, NY 12182-2085 | 2008-09-23 |
| 1144731738 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 900 Lark Dr, Albany, NY 12207-1300 | 2017-10-23 |
| 1689947756 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 676 Clinton Ave, Albany, NY 12206-2216 | 2012-02-20 |
| 1942573027 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 274 S Pearl St, Albany, NY 12202-1829 | 2012-02-20 |
| 1023381100 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 400 Sheridan Ave, Albany, NY 12206-2920 | 2012-02-20 |
| 1417924762 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 920 Lark Dr, Albany, NY 12207-1300 | 2006-03-07 |
| Street Address |
1245 HILLSIDE DR |
| City | WATERVLIET |
| State | NY |
| Zip Code | 12189-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164792669 | Christina Marie Ortloff | Speech-Language Pathologist | 1245 Hillside Dr, Watervliet, NY 12189-2406 | 2011-12-31 |
| 1821347188 | Alison Santiago | Social Worker | 1245 Hillside Dr, Watervliet, NY 12189-2406 | 2012-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173744 | Edie Harris | Home Health Aide | 358 Watervliet Shaker Rd Unit A, Watervliet, NY 12189 | 2015-09-10 |
| 1689960163 | Sharon Mahoney | Speech-Language Pathologist | 11 Haswell Road, Watervliet, NY 12189 | 2011-06-23 |
| 1427279009 | Shakil Ali Virjee | Dentist | 1533 2nd Ave, Watervliet, NY 12189 | 2007-05-01 |
| 1952466286 | Watervliet City School District | Local Education Agency (LEA) | 1245 Hillside Drive, Watervliet, NY 12189 | 2006-12-27 |
| 1083788152 | Mahendra Ganjhu | Internal Medicine | 310 23rd Street, Watervliet, NY 12189 | 2006-11-20 |
| 1871012906 | Zhaleh Laliberte Lavasani | Speech-Language Pathologist | 32 Cohoes Road, Watervliet, NY 12189 | 2017-09-09 |
| 1861917924 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1901 2nd Ave, Watervliet, NY 12189 | 2017-08-10 |
| 1952783755 | Heather Sliwinski | Early Intervention Provider Agency | 32 Cohoes Road, Achievements and Kids Express, Watervliet, NY 12189 | 2015-06-29 |
| 1699051326 | Kelly Ann Rost | Social Worker | 11 Haswell Road, Watervliet, NY 12189 | 2011-10-26 |
| 1861585168 | Gattu N Rao | Surgery | 815 19th Street, First Fl., Watervliet, NY 12189-0187 | 2006-10-02 |
| Find all providers in zip 12189 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1538621289 | Ezras Choilim Health Center, Inc. | Clinic/Center | 49 Forest Rd Fl 3, Monroe, NY 10950-2923 | 2019-04-02 |
| 1134693708 | Rochester Primary Care Network, Inc | Clinic/Center | 3 Parkside Ct Bldg 1, Utica, NY 13501-5643 | 2019-01-17 |
| 1164994190 | Morris Heights Health Center, Inc. | Clinic/Center | 1 W Burnside Ave, Bronx, NY 10453-4003 | 2019-01-02 |
| Find all providers with the same taxonomy | ||||
| City | WATERVLIET |
| Zip Code | 12189 |
Please comment or provide details below to improve the information on WHITNEY M. YOUNG, JR. HEALTH CENTER, INC..
| 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.