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Anthony L. Jordan Health Corporation

Clinic/Center, Federally Qualified Health Center (FQHC) in Rochester, NY. Organization (NPI-2).

NPI number1497039713
StatusActive
Last updated in NPPESOct 8, 2015

Details

NPI
1497039713
Entity type
Organization (NPI-2)
Legal business name
Anthony L. Jordan Health Corporation
Organization subpart
Yes
Enumeration date
Oct 5, 2011
Last updated
Oct 8, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)2701211RNYYes

Other names

  • Woodward Center (Doing Business As)

Practice location

480 Genesee St
Woodward Center
Rochester, NY 14611-3634

Phone 585-436-3040 · Fax 585-328-3812

Mailing address

82 Holland St
Aljhc
Rochester, NY 14605-2131

Phone 585-423-5800 · Fax 585-423-2890

Authorized official

Janice Harbin
President/Ceo
5854235800

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Federally Qualified Health Center (FQHC) providers in Rochester, NY

All 20 Federally Qualified Health Center (FQHC) providers in Rochester · All 22,972 providers in Rochester

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