Middletown Community Health Center INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Goshen, NY. Organization (NPI-2).
NPI number1861696841
StatusActive
Last updated in NPPESMar 25, 2011
Details
- NPI
- 1861696841
- Entity type
- Organization (NPI-2)
- Legal business name
- Middletown Community Health Center INC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2007
- Last updated
- Mar 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | NY | Yes |
Practice location
53 Gibson RoadGoshen, NY 10924
Phone 845-291-0348 · Fax 845-343-5390
Mailing address
Po Box 98721 Orchard Street
Middletown, NY 10940
Phone 845-343-7614 · Fax 845-343-5390
Authorized official
Theresa M Maloney
Chief Executive Officer
8453437614
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