WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. (NPI# 1942573027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942573027 |
| Entity Type | Organization |
| Organization Name | WHITNEY M. YOUNG, JR. HEALTH CENTER, INC. |
| Other Organization Name | GIFFEN MEMORIAL HEALTH CENTER |
| Practice Address |
274 S Pearl St Albany NY 12202-1829 |
| Mailing Address |
920 Lark Drive Whitney M. Young Jr. Health Center Albany NY 12207 |
| Practice Telephone | 5184756723 |
| Mailing Telephone | 5184654771 |
| Mailing Fax Number | 5182424770 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | DAVID HAROLD 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) |
0101205R | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Giffen Memorial Health Center | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 920 Lark Drive, Whitney M. Young Jr. Health Center, Inc., Albany, NY 12207 | 5184654771 | 5182424770 |
| 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 |
| 1699256305 | Whitney M. Young, Jr. Health Center, Inc. | Clinic/Center | 1245 Hillside Dr, Watervliet, NY 12189-2406 | 2018-08-22 |
| 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 |
| 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 |
274 S PEARL ST |
| City | ALBANY |
| State | NY |
| Zip Code | 12202-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932478054 | Brynn Costello | Registered Nurse | 274 S Pearl St, Albany, NY 12202-1829 | 2011-12-19 |
| 1679009377 | Herman Calderon | Social Worker | 274 S Pearl St, Albany, NY 12202-1829 | 2017-05-02 |
| 1801337977 | Liza Kirchgraber | Registered Nurse | 274 S Pearl St, Albany, NY 12202-1829 | 2017-03-09 |
| 1528334810 | Mary Rose Duncan | Psychologist | 274 S Pearl St, Albany, NY 12202-1829 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497282131 | Beth Laddin | Social Worker | Thomas O'brien Academy of Science and Technology School, Lincoln Park/ Delaware Ave, Albany, NY 12202 | 2017-05-12 |
| 1326448275 | Trinity Alliance of The Capital Region | Substance Abuse Rehabilitation Facility | 3 Lincoln Square, Albany, NY 12202 | 2014-08-28 |
| 1053558205 | Thomas Edward Clark | Student in an Organized Health Care Education/Training Program | 980 Western Avenue, Albany, NY 12202 | 2009-01-09 |
| 1609992478 | Margaret E Priola | Registered Nurse | 326 So Pearl Street, St. Peter's Family Health Center, Albany, NY 12202 | 2007-03-22 |
| 1770637092 | City School District of Albany | Local Education Agency (LEA) | 1 Academy Park, Elk Street, Albany, NY 12202 | 2007-01-23 |
| 1023533460 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 S Pearl St, Albany, NY 12202 | 2017-08-07 |
| 1952821118 | Helen Theresa Mcdonald | Family Medicine | 326 S Pearl St, Albany, NY 12202 | 2017-06-20 |
| 1619320686 | Elizabeth Carcich | Social Worker | 260 South Pearl Street, Albany, NY 12202 | 2016-07-14 |
| 1295091114 | Juan Jose Santacruz | Counselor | 64 2nd Avenue, Albany, NY 12202 | 2012-04-04 |
| 1619307535 | Karen Johnson-williams | Social Worker | 105 Mount Hope Dr, Albany, NY 12202-1009 | 2013-11-13 |
| Find all providers in zip 12202 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1770096984 | Cfdshc, Inc | Clinic/Center | 314 South Manning Blvd, Albany, NY 12208-1708 | 2017-11-09 |
| 1942660105 | Whitney M. Young Jr. Health Center, Inc. | Clinic/Center | 10 Dewitt Street, Whitney M. Young Jr. Health Center, Inc., Albany, NY 12207-1300 | 2016-03-02 |
| 1164888491 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct Ste B, Albany, GA 31707-0205 | 2015-12-31 |
| 1902277635 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1700 Cordell Ave, Albany, GA 31705-1497 | 2015-10-07 |
| 1003287731 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1425 W Oakridge Dr, Albany, GA 31707-5306 | 2015-10-07 |
| 1558743005 | Cumberland Family Medical Center, Inc. | Clinic/Center | 65 High School Dr, Albany, KY 42602-8986 | 2015-06-22 |
| Find all providers in ALBANY | ||||
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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.