Charles Evans Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Bethpage, NY. Organization (NPI-2).
NPI number1972982007
StatusActive
Last updated in NPPESJun 25, 2026
Details
- NPI
- 1972982007
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles Evans Center, INC.
- Organization subpart
- No
- Enumeration date
- May 21, 2015
- Certification date
- Jun 25, 2026
- Last updated
- Jun 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 2950212R | NY | Yes |
Practice location
857 S Oyster Bay RdBethpage, NY 11714-1030
Phone 516-622-8888 · Fax 516-342-2480
Mailing address
857 S Oyster Bay RdBethpage, NY 11714-1030
Phone 516-622-8888 · Fax 516-342-2480
Authorized official
Rebeca Rosa Rivera
Revenue Cycle Manager
5166228888
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