Long Island Select Healthcare, Inc
Federally qualified health center in Port Jefferson Stati, NY, Medicare certification number 571062.
Medicare certification
Provider of Services- CCN
- 571062
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Feb 27, 2017
- Last certification
- Feb 27, 2017
- Address
- 509 Route 112
Port Jefferson Stati, NY 11776
(631) 650-2510
NPI records for this facility (CCN to NPI Mapping) 1
-
dba LISH, Inc.
- Federally Qualified Health Center (FQHC)
- Port Jefferson Station, NY
- NPI 1417300575
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.