WHITNEY M. YOUNG JR. HEALTH CENTER, INC. (NPI# 1942660105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942660105 |
| Entity Type | Organization |
| Organization Name | WHITNEY M. YOUNG JR. HEALTH CENTER, INC. |
| Practice Address |
10 Dewitt Street Whitney M. Young Jr. Health Center, Inc. Albany NY 12207-1300 |
| Mailing Address |
920 Lark Dr Albany NY 12207-1300 |
| Practice Telephone | 5184654771 |
| Practice Fax Number | 5183203022 |
| Mailing Telephone | 5184654771 |
| Mailing Fax Number | 5183203022 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MS. DONNA CONNORS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5184654771 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITNEY M. YOUNG JR. HEALTH CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
========= | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 331807 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190017 | Whitney M. Young Jr. Health Center, Inc. | Clinic/Center | 700 Washington Ave, Albany, NY 12203-1404 | 2020-10-01 |
| 1235537655 | Whitney M. Young Jr. Health Center, Inc. | Clinic/Center | 920 Lark Dr, Whitney M. Young Jr. Health Center - Mobile Van, Albany, NY 12207-1300 | 2014-12-17 |
| Street Address |
10 DEWITT STREET WHITNEY M. YOUNG JR. HEALTH CENTER, INC. |
| City | ALBANY |
| State | NY |
| Zip Code | 12207-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821588930 | Raynika Denise Wilcox | Behavior Technician | 90 State Street,suite 700, Albany, NY 12207 | 2018-05-14 |
| 1770020562 | Laura Mahoney | Dental Hygienist | 950 Lark Drive, Albany, NY 12207 | 2017-01-31 |
| 1003282880 | Hala Awad | Pharmacist | 17 21 N Pearl St, Albany, NY 12207 | 2015-08-17 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1275896805 | Deidre Romanski | Case Manager/Care Coordinator | 112 State Street Room 300, Albany, NY 12207 | 2012-06-19 |
| 1124325394 | Devon Clough | Registered Nurse | 3 Ecomm Square, Albany, NY 12207 | 2011-02-23 |
| 1336459825 | Elina Tsenter | Specialist | 112 State Street, Room 300, Albany, NY 12207 | 2010-10-18 |
| 1750609137 | Michele Monforte Papol | Registered Nurse | 3 East Commerce Square, Albany, NY 12207 | 2010-05-11 |
| 1982842704 | Richard Stuarts Metzger | Pharmacist | 418 Broadway, Albany, NY 12207 | 2009-02-02 |
| 1467639245 | Daniella Rodrigues Ferri | Pharmacist | 1721 North Pearl St, Albany, NY 12207 | 2008-01-24 |
| Find all providers in zip 12207 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1164888491 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct Ste B, Albany, GA 31707-0205 | 2015-12-31 |
| 1902277635 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1700 Cordell Ave, Albany, GA 31705-1497 | 2015-10-07 |
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| 1558743005 | Cumberland Family Medical Center, Inc. | Clinic/Center | 65 High School Dr, Albany, KY 42602-8986 | 2015-06-22 |
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| Find all providers in ALBANY | ||||
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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.