NPIMap

Organization Active NPI

Anthony L. Jordan Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
National Provider Identifier
1174095640
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ANTHONY L. JORDAN HEALTH CORPORATION
Practice address
214 Lake Ave
Rochester, NY 14608-1208
Phone
(585) 423-5800
Fax
(585) 784-5981
NPI assigned
Dec 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica M. Graham, CMBS, CMC
Title
Billing Manger
Phone
(585) 423-2821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

214 Lake Ave
Rochester, NY 14608-1208

Mailing address

214C Lake Ave
Rochester, NY 14608-1208
Phone (585) 423-2816

National Provider Directory

National Provider Directory
Tax ID family
Anthony Jordan HLTH Ctr7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

214 Lake Ave
Rochester, NY 14608
Phone (585) 423-5800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1174095640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214C LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081208",
            "telephone_number": "585-423-2816",
            "fax_number": "585-423-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081208",
            "telephone_number": "585-423-5800",
            "fax_number": "585-784-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY L. JORDAN HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "585-423-2821",
        "authorized_official_credential": "CMBS, CMC"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.