The Ben Gilman Medical Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

THE BEN GILMAN MEDICAL CENTER

Practice address

175 Route 59
Spring Valley, NY 10977-5231

Phone

(845) 352-6800

NPI assigned

Oct 4, 2010

Organization subpart

Yes

Parent organization

COMMUNITY MEDICAL AND DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Mr. Michael Kavanagh

Title

Business Manager

Phone

(845) 352-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Community Medical Dental C4 organizations share this tax ID, including this one

Part of

Community Medical Dental C

Other organizations with this tax ID 3

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

• Community Medical & Dental Care Inc / Home Program

  • Federally Qualified Health Center (FQHC)
  • Monsey, NY
  • NPI 1659255511
  NPD tax ID
• Community Medical & Dental Care Inc / Ohr Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Monsey, NY
  • NPI 1063248086
  NPD tax ID
• Community Medical & Dental Care Inc/ Infinity

  • Federally Qualified Health Center (FQHC)
  • Suffern, NY
  • NPI 1194520692
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Community Medical & Dental Care Inc

  • Federally Qualified Health Center (FQHC)
  • Monsey, NY
  • NPI 1972681484
  NPPES parent name

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1700195096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775231",
            "telephone_number": "845-352-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEN GILMAN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MEDICAL AND DENTAL CARE",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "845-352-6800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01432975",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Federally Qualified Health Center (FQHC) in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.