Refuah Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

4353202R Issued in NY

Legal business name

REFUAH HEALTH CENTER, INC.

Practice address

100 Route 59
Suite 205
Suffern, NY 10901-4927

Phone

(845) 354-9300

NPI assigned

Aug 26, 2016

Organization subpart

Yes

Parent organization

REFUAH HEALTH CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Chanie Sternberg

Title

President and Ceo

Phone

(845) 354-9300

Specialties & licenses 1

Addresses

Other names 1

• Refuah Health Center Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 571130

Legal name

REFUAH HEALTH CENTER INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 2, 2018

Last certification

Nov 2, 2018

Ownership / control type

For profit – corporation

Facility address

100 Route 59, 105 Street
Airmont, NY 10901

Part of

Refuah Health Center Inc

Locations

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1770039158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N MAIN ST",
            "city": "NEW SQUARE",
            "state": "NY",
            "postal_code": "109778916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "address_2": "SUITE 205",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-354-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUAH HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REFUAH HEALTH CENTER, INC.",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "CHANIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "845-354-9300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "4353202R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refuah Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Suffern, NY
• Providers in Suffern, 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 Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.