ANTHONY L. JORDAN HEALTH CORPORATION (NPI# 1174095640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174095640 |
| Entity Type | Organization |
| Organization Name | ANTHONY L. JORDAN HEALTH CORPORATION |
| Practice Address |
214 Lake Ave Rochester NY 14608-1208 |
| Mailing Address |
214c Lake Ave Rochester NY 14608-1208 |
| Practice Telephone | 5854235800 |
| Practice Fax Number | 5857845981 |
| Mailing Telephone | 5854232816 |
| Mailing Fax Number | 5854232853 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | MONICA M. GRAHAM (BILLING MANGER) |
| Authorized Official Telephone | 5854232821 |
| Authorized Official Credential | CMBS, CMC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| 1457626129 | Anthony L. Jordan Health Corporation | Clinic/Center | 125 Saint Paul St, Rochester, NY 14609 | 2012-03-14 |
| 1437424231 | Anthony L. Jordan Health Corporation | Clinic/Center | 41 Kestrel St, Rochester, NY 14613-2120 | 2012-03-13 |
| 1609141316 | Anthony L. Jordan Health Corporation | Clinic/Center | 666 Plymouth Ave S, Rochester, NY 14608-2766 | 2012-03-13 |
| 1346541414 | Anthony L. Jordan Health Corporation | Clinic/Center | 273 Upper Falls Blvd, Rochester, NY 14605-2103 | 2010-11-05 |
| 1639621709 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2016-10-25 |
| 1750700399 | Anthony L. Jordan Health Corporation | Clinic/Center | 950 Norton St, Rochester, NY 14621-3732 | 2014-04-10 |
| 1831441534 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2012-10-05 |
| 1528317567 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland Street, Rochester, NY 14605-2131 | 2012-09-06 |
| 1649529678 | Anthony L. Jordan Health Corporation | Clinic/Center | 120 N Main St, Suite 11, Canandaigua, NY 14424-1258 | 2012-09-06 |
| Street Address |
214 LAKE AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14608-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138184 | Starzom, LLC | Transportation Broker | 803 South Plymouth Avenue, Rochester, NY 14608 | 2019-01-16 |
| 1750864500 | Nikki Haynesworth | Counselor | 394 Frederick Douglass St., Rochester, NY 14608 | 2018-09-07 |
| 1639614498 | Atiya Abdus-samad | Technician | 104 Cady Street, Rochester, NY 14608 | 2017-01-03 |
| 1467806703 | Beverley Adams | Licensed Practical Nurse | 200 Frost Avenue, Rochester, NY 14608 | 2016-04-22 |
| 1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
| 1366771750 | Tracy Lynn Clark | Licensed Practical Nurse | 2 Backus St, Rochester, NY 14608 | 2009-12-14 |
| 1033397252 | Tracy Stevens | Registered Nurse | 280 Seward Street, Rochester, NY 14608 | 2008-02-11 |
| 1578653929 | Amy L Archer | Social Worker | 81 Lake Avenue, Evelyn Brandon Health Center, Rochester, NY 14608 | 2006-10-14 |
| 1902906233 | Kevin M Mcintyre | Psychiatry & Neurology | 81 Lake Ave., Rochester, NY 14608 | 2006-09-25 |
| 1427088913 | Steven M Ess | Chiropractor | 309 Exchange Blvd, Rochester, NY 14608 | 2006-07-03 |
| Find all providers in zip 14608 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128371 | Regional Health Reach Inc. | Clinic/Center | 89 Genesee St Ste 1408, Rochester, NY 14611-3201 | 2020-03-05 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| 1457626129 | Anthony L. Jordan Health Corporation | Clinic/Center | 125 Saint Paul St, Rochester, NY 14609 | 2012-03-14 |
| 1437424231 | Anthony L. Jordan Health Corporation | Clinic/Center | 41 Kestrel St, Rochester, NY 14613-2120 | 2012-03-13 |
| 1609141316 | Anthony L. Jordan Health Corporation | Clinic/Center | 666 Plymouth Ave S, Rochester, NY 14608-2766 | 2012-03-13 |
| 1346541414 | Anthony L. Jordan Health Corporation | Clinic/Center | 273 Upper Falls Blvd, Rochester, NY 14605-2103 | 2010-11-05 |
| 1003431925 | Greater Seacoast Community Health | Clinic/Center | 63 S Main St, Rochester, NH 03867-2707 | 2020-06-16 |
| 1407331978 | Greater Seacoast Community Health | Clinic/Center | 25 Old Dover Rd, Rochester, NH 03867-3464 | 2018-10-01 |
| 1639621709 | Anthony L. Jordan Health Corporation | Clinic/Center | 82 Holland St, Rochester, NY 14605-2131 | 2016-10-25 |
| 1235680935 | Community Health Service Inc. | Clinic/Center | 1926 College View Rd E, Rctc, Rochester, MN 55904-8201 | 2016-10-18 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.