ODYSSEY HEALTH SERVICES


Address: 219 E 121 St, New York, NY 10035
Phone: 2123611678

ODYSSEY HEALTH SERVICES (NPI# 1922475235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922475235
Entity Type Organization
Organization Name ODYSSEY HEALTH SERVICES
Practice Address 219 E 121 St
New York
NY 10035
Mailing Address 120 Wall St
17th Floor
New York
NY 10005-3904
Practice Telephone 2123611678
Practice Fax Number 2123611666
Mailing Telephone 2123611678
Mailing Fax Number 2123611666
Enumeration Date 2015-08-24
Last Update Date 2015-08-24
Authorized Official Name MR. DARYL BRUCE EVERETT (CONTROLLER)
Authorized Official Telephone 2123611678
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations ODYSSEY HEALTH SERVICES, INC. 219 East 121st Street, New York, New York 10035

Office Location

Street Address 219 E 121 ST
City NEW YORK
State NY
Zip Code 10035

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1043821531 Shandrika Potts-mills Social Worker 2600 Madison Ave, New York, NY 10035 2020-08-10
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1659938397 Fanney Pereyra Dentist 2265 Third Avenue, New York, NY 10035 2019-05-28
1770046351 Ralph Lauren Center for Cancer Care and Prevention Special Hospital 1919 Madison Ave Frnt 2, New York, NY 10035 2019-04-10
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1477041234 Rina Rossignol Social Worker 108 Wards Island, Manhattan, NY 10035 2018-04-27
1669978664 Alexandra Black Student in an Organized Health Care Education/Training Program 53 East 124th Street, New York, NY 10035 2018-03-30
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1336650688 Damian Family Care Center, Inc. Clinic/Center 13 Hell Gate Cir, New York, NY 10035-6602 2017-10-13
1912436858 Community Healthcare Network, Inc. Clinic/Center 504 W. 158th Street, 5th Floor, Room 511, New York, NY 10032-7202 2017-06-05
1083093637 Damian Family Care Centers, Inc. Clinic/Center 500 8th Avenue, 3rd Floor, New York, NY 10018 2015-05-28
1972913473 Community Health Project Inc. Clinic/Center 230 W 17th Sreet, New York, NY 10011-5325 2014-05-06
1053588988 Under 21 Clinic/Center 460 W 41st, New York, NY 10036 2008-05-09
1609897453 Betances Health Center Clinic/Center 280 Henry St., Betances Health Center, New York, NY 10002-4816 2006-07-21
1588691828 William F. Ryan Community Health Center Inc Clinic/Center 279 E 3rd St, New York, NY 10009 2006-06-26
1215978960 Ryan Chelsea Clinton Community Health Center Clinic/Center 645 10th Ave, New York, NY 10036 2006-06-10
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Competitor

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City NEW YORK
Zip Code 10035

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Dataset Information

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.

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